institution
Maple Grove Dialysis Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Maple Grove, Minnesota
NPI 1255518247

Maple Grove Dialysis Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, MN and is specialized in End-Stage Renal Disease (ESRD) Treatment. Maple Grove Dialysis Llc practices in Maple Grove, MN. The NPI Number for Maple Grove Dialysis Llc is 1255518247 and holds a License No. (Minnesota).

The current practice location address for Maple Grove Dialysis Llc is 15655 Grove Cir N, Maple Grove, MN and can be reached out via phone at 763-420-2804 and via fax at 763-420-7162. You can also correspond with Maple Grove Dialysis Llc through the mailing address at 5200 VIRGINIA WAY, BRENTWOOD, TN - 37027-7569 (mailing address contact number: 615-320-4514).

Location: 15655 Grove Cir N, Maple Grove, MN, 37027-7569
institution
Provider Profile Details
NPI Number
1255518247
Provider Name
Maple Grove Dialysis Llc
Credential
Provider Entity Type
Organization
Address
15655 Grove Cir N, Maple Grove, MN, 37027-7569
Phone Number
763-420-2804
Fax Number
763-420-7162
Provider Enumeration Date
01/22/2008
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1255518247 05 MN
institution
Provider Business Practice Location Address Details
Address
15655 Grove Cir N
City
State
Zip
55369-4489
Phone Number
763-420-2804
Fax Number
763-420-7162
person
Provider Business Mailing Address Details
Address
15655 Grove Cir N
City
State
Zip
55369-4489
Phone Number
763-420-2804
Fax Number
763-420-7162
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
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Definition
Definition to come...
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