Organization
MIDWEST NEPHROLOGY ASSOCIATES, SC
Active
Parent organization
MIDWEST NEPHROLOGY ASSOCIATES, SC
Other names
MNA Surgery Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIDWEST NEPHROLOGY ASSOCIATES, SC
Authorized official
CHRISTINE HERBST (VP OPERATIONS)
(414) 762-2020
Entity
Organization
Contact information
Practice address
7797 W APPLETON AVENUE, MILWAUKEE, WI 53222
(414) 393-2690
(414) 393-2693
Mailing address
335 MAHN COURT, OAK CREEK, WI 53154-2155
(414) 762-2020
(414) 762-2024
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32796300
—
WI
Enumeration date
01/06/2017
Last updated
01/03/2025
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