| NPI | 1235235474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK P HERZOG President CEO 920-320-3481 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2011-02-01 |