Organization
MIDWEST DIALYSIS CENTER, INC.
Active
Other names
Midwest Dialysis Center - Capitol Branch
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID A KURZ (V.P. OPERATIONS)
(414) 762-2020
Entity
Organization
Contact information
Practice address
4021 N 52ND ST, MILWAUKEE, WI 53216-1383
(414) 873-3600
(414) 873-6479
Mailing address
335 MAHN CT, OAK CREEK, WI 53154-2155
(414) 762-2020
(414) 762-2024
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
—
42051500
—
WI
Enumeration date
07/08/2006
Last updated
11/01/2011
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