| NPI | 1629010228 |
|---|---|
| Former Legal Business Name | KIDNEY DISEASE & CRITICAL CARE ASSOC., PA |
| Entity Type | Organization |
| Authorized Contact | JOHN R GRAY President 763-544-0696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2014-10-15 |