Organization
PERITONEAL DIALYSIS CARE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SURMEET BEDI M.D. (PRESIDENT)
(937) 383-2700
Entity
Organization
Contact information
Practice address
630 W MAIN ST, SUITE 209, WILMINGTON, OH 45177-2170
(937) 383-2700
Mailing address
630 W MAIN ST, SUITE 209, WILMINGTON, OH 45177-2170
(937) 383-2700
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
35091836
OH
Other
Enumeration date
05/16/2011
Last updated
05/24/2011
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