| NPI | 1467682039 |
|---|---|
| Doing Business As | PRAIRIE LAKES PERITONEAL DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | MICHELE TURBAK Cno 605-882-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: SD 10572) |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2024-07-31 |