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Isd Renal Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Fort Wayne, Indiana
NPI 1174579551

Isd Renal Inc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, IN and is specialized in End-Stage Renal Disease (ESRD) Treatment. Isd Renal Inc practices in Fort Wayne, IN. The NPI Number for Isd Renal Inc is 1174579551 and holds a License No. (Indiana).

The current practice location address for Isd Renal Inc is 3909 Lake Ave, Fort Wayne, IN and can be reached out via phone at 260-420-2666 and via fax at 260-424-2036.

Location: 3909 Lake Ave, Fort Wayne, IN, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174579551
Provider Name
Isd Renal Inc
Credential
Provider Entity Type
Organization
Address
3909 Lake Ave, Fort Wayne, IN, 37027-7569
Phone Number
260-420-2666
Fax Number
260-424-2036
Provider Enumeration Date
05/26/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3909 Lake Ave
City
Fort Wayne
State
Indiana
Zip
46805-5545
Phone Number
260-420-2666
Fax Number
260-424-2036
person
Provider Business Mailing Address Details
Address
3909 Lake Ave
City
Fort Wayne
State
Indiana
Zip
46805-5545
Phone Number
260-420-2666
Fax Number
260-424-2036
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.
()
Definition
Definition to come...
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