| NPI | 1447516182 |
|---|---|
| Doing Business As | DSI MUNCIE NORTH STREET DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | TAMMY J BAKER Managed Care Coordinator 615-234-1188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2012-04-06 |