Organization
NEPHROLOGY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH MENTZ CEO (CEO)
(574) 273-6787
Entity
Organization
Contact information
Practice address
2855 MILLER DRIVE, SUITE 209, PLYMOUTH, IN 46563
(574) 273-6787
(574) 968-0882
Mailing address
221 RED COACH DRIVE, SUITE D, MISHAWAKA, IN 46545-3519
(574) 273-6787
(574) 968-0882
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
02/14/2007
Last updated
10/03/2007
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