NPI | 1427008986 |
---|---|
Other Name | MAYO CLINIC DIALYSIS-MENOMONIE |
Entity Type | Organization |
Authorized Contact | MARK BORTNEM CFO 715-838-5270 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: WI 1990) |
Enumeration Date | 2006-05-12 |
Last Update Date | 2025-08-19 |