Organization
DIALYSIS PARTNERS OF NORTHWEST OHIO, LLC
Active
Other names
Dialysis Partners of Northwest Ohio
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID F SHEPHERD (VICE PRESIDENT)
(248) 642-5038
Entity
Organization
Contact information
Practice address
5308 HARROUN RD, SUITE 60, SYLVANIA, OH 43560-2114
(248) 642-5038
(248) 642-7852
Mailing address
30100 TELEGRAPH RD, SUITE 200, BINGHAM FARMS, MI 48025-4516
(248) 723-0224
(248) 642-7852
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
1036435
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000327208
ANTHEM BC
OH
05
—
0062708
—
OH
Enumeration date
07/22/2010
Last updated
09/19/2012
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