Organization
PHYSICIANS DIALYSIS ACQUISITIONS INC
Active
Other names
PDI Grand Haven
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
16964 ROBBINS RD, SUITE 203, GRAND HAVEN, MI 49417-2796
(616) 847-2825
(616) 847-4428
Mailing address
5200 VIRGINIA WAY, ATT: L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4514
(866) 594-9961
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4307276
—
MI
Enumeration date
04/01/2006
Last updated
01/19/2024
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