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Dva Renal Healthcare Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Brookfield, Wisconsin
NPI 1881659639

Dva Renal Healthcare Inc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, WI and is specialized in End-Stage Renal Disease (ESRD) Treatment. Dva Renal Healthcare Inc practices in Brookfield, WI. The NPI Number for Dva Renal Healthcare Inc is 1881659639 and holds a License No. (Wisconsin).

The current practice location address for Dva Renal Healthcare Inc is 19395 W Capitol Dr Bldg C, Brookfield, WI and can be reached out via phone at 262-781-0273 and via fax at 262-781-0305.

Location: 19395 W Capitol Dr Bldg C, Brookfield, WI, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1881659639
Provider Name
Dva Renal Healthcare Inc
Credential
Provider Entity Type
Organization
Address
19395 W Capitol Dr Bldg C, Brookfield, WI, 37027-7569
Phone Number
262-781-0273
Fax Number
262-781-0305
Provider Enumeration Date
04/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1881659639 05 WI
institution
Provider Business Practice Location Address Details
Address
19395 W Capitol Dr Bldg C
City
Brookfield
State
Wisconsin
Zip
53045-2736
Phone Number
262-781-0273
Fax Number
262-781-0305
person
Provider Business Mailing Address Details
Address
19395 W Capitol Dr Bldg C
City
Brookfield
State
Wisconsin
Zip
53045-2736
Phone Number
262-781-0273
Fax Number
262-781-0305
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.
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Definition
Definition to come...
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