| NPI | 1871679480 |
|---|---|
| Doing Business As | OCONOMOWOC 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 | 2006-10-27 |
| Last Update Date | 2010-05-13 |