| NPI | 1093083446 |
|---|---|
| Doing Business As | STATE FAIR DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | RACHEL DONALDSON KIMPSON President 313-574-5430 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301406139) |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2011-12-13 |