| NPI | 1316324395 |
|---|---|
| Doing Business As | MILE BLUFF WISCONSIN DELLS DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | THOMAS KAMINSKI VP/CFO 608-847-1452 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: WI 134) |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2025-05-05 |