Organization
COMMERCE TOWNSHIP DIALYSIS CENTER LLC
Active
Other names
Commerce Township Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
120 W COMMERCE RD, COMMERCE TOWNSHIP, MI 48382-3915
(248) 363-4862
(248) 363-5238
Mailing address
5200 VIRGINIA WAY, ATT: L&C DEPT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497875819
—
MI
Enumeration date
03/30/2007
Last updated
06/20/2024
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