| NPI | 1689870594 |
|---|---|
| Doing Business As | MACOMB REGIONAL DIALYSIS CENTER |
| Entity Type | Organization |
| Authorized Contact | DAVID FREDERICK SHEPHERD Vice President / Managing Agent 248-642-5038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2018-10-15 |