institution
Great Lakes Dialysis, L.l.c.
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Detroit, Michigan
NPI 1720095417

Great Lakes Dialysis, L.l.c. is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Detroit, MI and is specialized in End-Stage Renal Disease (ESRD) Treatment. Great Lakes Dialysis, L.l.c. practices in Detroit, MI. The NPI Number for Great Lakes Dialysis, L.l.c. is 1720095417 and holds a License No. 4301072901 (Michigan).

The current practice location address for Great Lakes Dialysis, L.l.c. is 14614 Kercheval St, Detroit, MI and can be reached out via phone at 313-924-9670 and via fax at 313-924-9673.

Location: 14614 Kercheval St, Detroit, MI, 48215-2814
institution
Provider Profile Details
NPI Number
1720095417
Provider Name
Great Lakes Dialysis, L.l.c.
Credential
Provider Entity Type
Organization
Address
14614 Kercheval St, Detroit, MI, 48215-2814
Phone Number
313-924-9670
Fax Number
313-924-9673
Provider Enumeration Date
08/02/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
14614 Kercheval St
City
State
Zip
48215-2814
Phone Number
313-924-9670
Fax Number
313-924-9673
person
Provider Business Mailing Address Details
Address
14614 Kercheval St
City
State
Zip
48215-2814
Phone Number
313-924-9670
Fax Number
313-924-9673
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
4301072901 (Michigan)
Definition
Definition to come...
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