institution
Southeastern Michigan Kidney Center Pllc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Berkley, Michigan
NPI 1316967797

Southeastern Michigan Kidney Center Pllc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Bingham Farms, MI and is specialized in End-Stage Renal Disease (ESRD) Treatment. Southeastern Michigan Kidney Center Pllc practices in Berkley, MI. The NPI Number for Southeastern Michigan Kidney Center Pllc is 1316967797 and holds a License No. (Michigan).

The current practice location address for Southeastern Michigan Kidney Center Pllc is 1695 W 12 Mile Rd, Berkley, MI and can be reached out via phone at 248-414-5200 and via fax at 248-414-5227.

Location: 1695 W 12 Mile Rd, Berkley, MI, 48025-4516
institution
Provider Profile Details
NPI Number
1316967797
Provider Name
Southeastern Michigan Kidney Center Pllc
Credential
Provider Entity Type
Organization
Address
1695 W 12 Mile Rd, Berkley, MI, 48025-4516
Phone Number
248-414-5200
Fax Number
248-414-5227
Provider Enumeration Date
07/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000009371 01 CAPE
08981 01 BLUE CROSS PRIMARY
08981 01 FED BLUE CROSS PRIMARY
1022510001 01 WELLNESS
140042 01 CARE CHOICES
OP630345 01 M CARE
09499 01 BLUE CROSS SECONDARY
501076 01 ULTI MED
567595 01 SELECTCARE
P117519 01 BLUE CARE NETWORK
140042 01 PREFERRED CHOICE
09499 01 FED BLUE CROSS SECONDARY
8203 01 GREATLAKES
232574 01 HAP
4112097 05 MI
institution
Provider Business Practice Location Address Details
Address
1695 W 12 Mile Rd
City
State
Zip
48072-2183
Phone Number
248-414-5200
Fax Number
248-414-5227
person
Provider Business Mailing Address Details
Address
1695 W 12 Mile Rd
City
State
Zip
48072-2183
Phone Number
248-414-5200
Fax Number
248-414-5227
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
()
Definition
Definition to come...
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