NPI | 1972846087 |
---|---|
Other Name | GLMC TOMAH RENAL DIALYSIS |
Entity Type | Organization |
Authorized Contact | KARI B ADANK Cco 608-775-8025 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
Enumeration Date | 2013-03-27 |
Last Update Date | 2022-03-25 |