| NPI | 1194758862 |
|---|---|
| Doing Business As | MIDWEST DIALYSIS CENTER-LAKESHORE BRANCH |
| Entity Type | Organization |
| Authorized Contact | DAVID A KURZ V.P. Operations 414-762-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2011-11-01 |