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Midwest Legacy Capital Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Black Creek, Wisconsin
NPI 1972008704

Midwest Legacy Capital Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Black Creek, WI and is specialized in End-Stage Renal Disease (ESRD) Treatment. Midwest Legacy Capital Llc practices in Black Creek, WI. The NPI Number for Midwest Legacy Capital Llc is 1972008704 and holds a License No. (Wisconsin).

The current practice location address for Midwest Legacy Capital Llc is W4233 State Rd 54, Black Creek, WI and can be reached out via phone at 920-915-5202.

Location: W4233 State Rd 54, Black Creek, WI, 54106-8633
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972008704
Provider Name
Midwest Legacy Capital Llc
Credential
Provider Entity Type
Organization
Address
W4233 State Rd 54, Black Creek, WI, 54106-8633
Phone Number
920-915-5202
Fax Number
Provider Enumeration Date
03/26/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
W4233 State Rd 54
City
Black Creek
State
Wisconsin
Zip
54106-8633
Phone Number
920-915-5202
Fax Number
person
Provider Business Mailing Address Details
Address
W4233 State Rd 54
City
Black Creek
State
Wisconsin
Zip
54106-8633
Phone Number
920-915-5202
Fax Number
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.
()
Definition
Definition to come...
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