Organization
WEST BROOMFIELD DIALYSIS LLC
Active
Other names
West Bloomfield Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JIM HILGER (VICE PRESIDENT)
(253) 382-1919
Entity
Organization
Contact information
Practice address
6010 W MAPLE RD, STE 215, WEST BLOOMFIELD, MI 48322-4406
(248) 539-1025
(248) 539-2986
Mailing address
5200 VIRGINIA WAY, STE 400 L&C, BRENTWOOD, TN 37027-7569
(615) 341-6480
(866) 381-9878
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
08/22/2008
Last updated
12/06/2010
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