Organization
TOTAL RENAL CARE INC
Active
Other names
Mequon Road 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
W175N11056 STONEWOOD DR, GERMANTOWN, WI 53022-4799
(262) 251-4047
(262) 251-4171
Mailing address
5200 VIRGINIA WAY, ATT: 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
03/17/2017
Last updated
03/03/2026
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