| NPI | 1619955838 |
|---|---|
| Doing Business As | SSM HEALTH DIALYSIS CENTER |
| Doing Business As | FOND DU LAC DIALYSIS CENTER |
| Entity Type | Organization |
| Authorized Contact | STEVEN N LITTLE SVP & CFO 920-926-5402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2022-03-12 |