Organization
DUBUQUE INTERNAL MEDICINE, PC
Active
Other names
Tri State Dialysis Richland Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAH ANN BRANDENBURG (ADMINISTRATION)
(563) 589-4066
Entity
Organization
Contact information
Practice address
190 N ORANGE ST, RICHLAND CENTER, WI 53581-2163
(563) 557-9111
Mailing address
1515 DELHI ST STE 100, DUBUQUE, IA 52001-6320
(563) 557-9111
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
10/13/2020
Last updated
08/28/2024
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