Organization Name: | KIDNEY CENTERS OF MICHIGAN LLC |
NPI Number: | 1073574596 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES K HILGER (CHIEF ACCOUNTING OFFICER) |
Mailing Address: | 47250 W 10 Mile Rd Novi |
State: | MI US |
Postal Code: | 483742932 |
Phone Number: | 2484494215 |
Fax Number: | 2484494218 |
NPI Enumeration Date: | 04/01/2006 |
NPI Last Update Date: | 12/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QE0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
Taxonomy Definition: |