Organization
MIDWEST DIALYSIS CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID A KURZ (V.P. OPERATIONS)
(414) 762-2020
Entity
Organization
Contact information
Practice address
3267 S 16TH ST, SUITE 203, MILWAUKEE, WI 53215-4500
(414) 672-8282
(414) 672-0046
Mailing address
335 MAHN CT, OAK CREEK, WI 53154-2155
(414) 762-2020
(414) 762-2024
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
—
32782200
—
WI
Enumeration date
07/08/2006
Last updated
04/07/2010
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