institution
Kidney Institute Of Wisconsin, Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Glendale, Wisconsin
NPI 1831262674

Kidney Institute Of Wisconsin, 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. Kidney Institute Of Wisconsin, Llc practices in Glendale, WI. The NPI Number for Kidney Institute Of Wisconsin, Llc is 1831262674 and holds a License No. (Wisconsin).

The current practice location address for Kidney Institute Of Wisconsin, Llc is 5650 N Green Bay Ave, Glendale, WI and can be reached out via phone at 414-431-5960 and via fax at 414-434-0359. You can also correspond with Kidney Institute Of Wisconsin, Llc through the mailing address at 2100 CENTRAL AVE, BOULDER, CO - 80301-2838 (mailing address contact number: 303-785-7523).

Location: 5650 N Green Bay Ave, Glendale, WI, 80301-2838
institution
Provider Profile Details
NPI Number
1831262674
Provider Name
Kidney Institute Of Wisconsin, Llc
Credential
Provider Entity Type
Organization
Address
5650 N Green Bay Ave, Glendale, WI, 80301-2838
Phone Number
414-431-5960
Fax Number
414-434-0359
Provider Enumeration Date
11/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
42059400 05 WI
institution
Provider Business Practice Location Address Details
Address
5650 N Green Bay Ave
City
State
Zip
53209-4446
Phone Number
414-431-5960
Fax Number
414-434-0359
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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