| NPI | 1427008986 |
|---|---|
| Other Name | MAYO CLINIC DIALYSIS-MENOMONIE |
| Entity Type | Organization |
| Authorized Contact | JULIE S. HANSEN 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 | 2016-09-08 |