Organization
KIDNEY CENTERS OF MICHIGAN LLC
Active
Other names
Oak Park Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
(253) 733-4500
Entity
Organization
Contact information
Practice address
13481 W 10 MILE RD, OAK PARK, MI 48237-4633
(248) 582-9750
(248) 582-9760
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4214
(877) 735-8016
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
—
4641917
—
MI
Enumeration date
04/01/2006
Last updated
01/20/2014
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