| NPI | 1508800327 |
|---|---|
| Doing Business As | GREAT LAKES RENAL NETWORK- GREENVILLE |
| Entity Type | Organization |
| Authorized Contact | AMANDA M PEIRCE Manager Patient Accounts 989-356-7597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2022-10-18 |