Organization
LAKE MICHIGAN NEPHROLOGY, L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL WILLIAM BRASH MD (OWNER)
(269) 428-0819
Entity
Organization
Contact information
Practice address
3800 HOLLYWOOD RD STE 104, SAINT JOSEPH, MI 49085-8511
(269) 428-0819
(269) 428-0841
Mailing address
3800 HOLLYWOOD RD, SUITE 104, SAINT JOSEPH, MI 49085-8510
(269) 428-0819
(269) 428-0841
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301079804
MI
Other
Enumeration date
05/08/2007
Last updated
10/05/2023
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