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Wauseon Dialysis Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Wauseon, Ohio
NPI 1306010228

Wauseon Dialysis Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, OH and is specialized in End-Stage Renal Disease (ESRD) Treatment. Wauseon Dialysis Llc practices in Wauseon, OH. The NPI Number for Wauseon Dialysis Llc is 1306010228 and holds a License No. 0865DC (Ohio).

The current practice location address for Wauseon Dialysis Llc is 721 S Shoop Ave, Wauseon, OH and can be reached out via phone at 419-335-0695 and via fax at 419-335-0812.

Location: 721 S Shoop Ave, Wauseon, OH, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306010228
Provider Name
Wauseon Dialysis Llc
Credential
Provider Entity Type
Organization
Address
721 S Shoop Ave, Wauseon, OH, 37027-7569
Phone Number
419-335-0695
Fax Number
419-335-0812
Provider Enumeration Date
04/22/2008
Last Update Date
07/20/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2823216 05 OH
institution
Provider Business Practice Location Address Details
Address
721 S Shoop Ave
City
Wauseon
State
Ohio
Zip
43567-1729
Phone Number
419-335-0695
Fax Number
419-335-0812
person
Provider Business Mailing Address Details
Address
721 S Shoop Ave
City
Wauseon
State
Ohio
Zip
43567-1729
Phone Number
419-335-0695
Fax Number
419-335-0812
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.
0865DC (Ohio)
Definition
Definition to come...
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