Organization
FRESENIUS MEDICAL CARE TAYLOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN CHOWEN (REGIONAL VICE PRESIDENT)
(734) 207-3674
Entity
Organization
Contact information
Practice address
22970 NORTHLINE RD STE 100, TAYLOR, MI 48180-4696
(734) 287-6585
Mailing address
22970 NORTHLINE RD STE 100, TAYLOR, MI 48180-4696
(734) 287-6585
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
1861475451
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861475451
NPI - ESRD
MI
01
—
23-2619
MEDICARE - ESRD
MI
01
—
23D1083618
CLIA
MI
Enumeration date
05/10/2012
Last updated
05/10/2012
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