| NPI | 1144590332 |
|---|---|
| Doing Business As | DAVITA MEDICAL ASC |
| Entity Type | Organization |
| Authorized Contact | JOHN G. LIETHEN Secretary 952-205-6262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2019-08-19 |