Organization
TOTAL RENAL CARE INC
Active
Other names
West Appleton Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
10130 W APPLETON AVE, STE 500, MILWAUKEE, WI 53225-2579
(414) 393-0600
(414) 393-0910
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
05/12/2010
Last updated
07/24/2024
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