| NPI | 1124056742 |
|---|---|
| Doing Business As | PRAIRIE LAKES KIDNEY DIALYSIS WATERTOWN |
| Entity Type | Organization |
| Authorized Contact | TONY LEE MORRISON Vice President, Revenue Cycle 605-328-8380 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: SD 10572) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2025-11-20 |