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Organization

WYANDOT DIALYSIS CLINIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SANDRA D FRITZSCH (ADMINISTRATOR)
(513) 673-5245
Entity
Organization

Contact information

Practice address
1207 E WYANDOT AVE, UPPER SANDUSKY, OH 43351-9647
(513) 673-5245
Mailing address
213 PELICAN WAY, DELRAY BEACH, FL 33483-8011
(513) 673-5245

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary

Other

Enumeration date
06/04/2020
Last updated
06/04/2020
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