| NPI | 1578508198 |
|---|---|
| Doing Business As | SANFORD DIALYSIS DETROIT LAKES |
| Entity Type | Organization |
| Authorized Contact | TONY LEE MORRISON Vice President, Revenue Cycle 605-328-8380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2020-07-02 |