NPI | 1154856839 |
---|---|
Doing Business As | AVERA DIALYSIS MARSHALL |
Entity Type | Organization |
Authorized Contact | DEBBIE STREIER CEO 507-537-9160 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
Enumeration Date | 2017-05-01 |
Last Update Date | 2022-12-01 |