| NPI | 1376886465 |
|---|---|
| Other Name | GLMC PRAIRIE DU CHIEN RENAL DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | KARI B ADANK Cco 608-775-2061 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2022-03-25 |