NPI | 1750575015 |
---|---|
Doing Business As | MIDWEST KIDNEY CARE-WAUKESHA BRANCH |
Entity Type | Organization |
Authorized Contact | GREGORY V WARREN President 414-762-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
Enumeration Date | 2007-08-30 |
Last Update Date | 2011-10-27 |