| NPI | 1881702603 |
|---|---|
| Other Name | FITCHBURG CLINIC |
| Entity Type | Organization |
| Authorized Contact | KRISTINE HOLMES Authorized Official 608-270-5624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2019-06-24 |