MODESTO KIDNEY MEDICAL GROUP

MODESTO, CA
NPI1306848569
Former Legal Business NameITSARA AND LIU MD'S
Entity TypeOrganization
Authorized ContactLORI D MEISCHKE
Billing Manager
541-706-9073
Organization Subpart ?No
Primary Taxonomy207RN0300X Internal Medicine, Nephrology
(Licence: CA  01031187 02)
Enumeration Date2005-06-01
Last Update Date2013-03-29
Business Address
MODESTO KIDNEY MEDICAL GROUP
305 E GRANGER AVE STE 202
MODESTO, CA 95350-4344
Phone number: 209-526-1606
Mailing Address
MODESTO KIDNEY MEDICAL GROUP
305 E GRANGER AVE SUITE 202
MODESTO, CA 95350-4345
Phone number: 209-526-1606