| NPI | 1831315845 |
|---|---|
| Other Name | GERMANTOWN DIALYSIS CENTER |
| Entity Type | Organization |
| Authorized Contact | TINA M WALDRON Billing Supervisor 262-646-6426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2016-10-28 |