KIDNEY INSTITUTE OF WISCONSIN, LLC

GLENDALE, WI
NPI1831262674
Entity TypeOrganization
Authorized ContactHERBERT S LAWSON
CFO
303-785-7521
Organization Subpart ?No
Primary Taxonomy261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment
Enumeration Date2006-11-17
Last Update Date2020-08-22
Business Address
KIDNEY INSTITUTE OF WISCONSIN, LLC
5650 N GREEN BAY AVE SUITE 150
GLENDALE, WI 53209-4446
Phone number: 414-431-5960
Mailing Address
KIDNEY INSTITUTE OF WISCONSIN, LLC
2100 CENTRAL AVE SUITE 201
BOULDER, CO 80301-2838
Phone number: 303-785-7523