institution
Commonwealth Dialysis Center, Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Greenfield, Wisconsin
NPI 1295806776

Commonwealth Dialysis Center, Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Boulder, WI and is specialized in End-Stage Renal Disease (ESRD) Treatment. Commonwealth Dialysis Center, Llc practices in Greenfield, WI. The NPI Number for Commonwealth Dialysis Center, Llc is 1295806776 and holds a License No. (Wisconsin).

The current practice location address for Commonwealth Dialysis Center, Llc is 4848 S 76Th St, Greenfield, WI and can be reached out via phone at 414-281-6806 and via fax at 414-281-7289. You can also correspond with Commonwealth Dialysis Center, Llc through the mailing address at 2100 CENTRAL AVE, BOULDER, CO - 80301-2838 (mailing address contact number: 303-785-7523).

Location: 4848 S 76Th St, Greenfield, WI, 80301-2838
institution
Provider Profile Details
NPI Number
1295806776
Provider Name
Commonwealth Dialysis Center, Llc
Credential
Provider Entity Type
Organization
Address
4848 S 76Th St, Greenfield, WI, 80301-2838
Phone Number
414-281-6806
Fax Number
414-281-7289
Provider Enumeration Date
11/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3911991136010 01 WI BLUE CROSS PROVIDER NUMBE
42057900 05 WI
institution
Provider Business Practice Location Address Details
Address
4848 S 76Th St
City
State
Zip
53220-4361
Phone Number
414-281-6806
Fax Number
414-281-7289
person
Provider Business Mailing Address Details
Address
2100 Central Ave
City
State
Zip
80301-2838
Phone Number
303-785-7523
Fax Number
303-444-8639
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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