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Smithgall Dialysis Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Chilton, Wisconsin
NPI 1114320660

Smithgall Dialysis Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, WI and is specialized in End-Stage Renal Disease (ESRD) Treatment. Smithgall Dialysis Llc practices in Chilton, WI. The NPI Number for Smithgall Dialysis Llc is 1114320660 and holds a License No. (Wisconsin).

The current practice location address for Smithgall Dialysis Llc is 425 Mb Lane, Chilton, WI and can be reached out via phone at 920-849-3390 and via fax at 920-849-3432.

Location: 425 Mb Lane, Chilton, WI, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114320660
Provider Name
Smithgall Dialysis Llc
Credential
Provider Entity Type
Organization
Address
425 Mb Lane, Chilton, WI, 37027-7569
Phone Number
920-849-3390
Fax Number
920-849-3432
Provider Enumeration Date
09/29/2014
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1114320660 05 WI
institution
Provider Business Practice Location Address Details
Address
425 Mb Lane
City
Chilton
State
Wisconsin
Zip
53014-1604
Phone Number
920-849-3390
Fax Number
920-849-3432
person
Provider Business Mailing Address Details
Address
425 Mb Lane
City
Chilton
State
Wisconsin
Zip
53014-1604
Phone Number
920-849-3390
Fax Number
920-849-3432
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
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Definition
Definition to come...
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