| NPI | 1205598570 |
|---|---|
| Other Name | GLMC LA CROSSE RENAL DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | KARI B ADANK Cco 608-775-8025 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2021-10-13 |
| Last Update Date | 2021-10-13 |