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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KIDNEY DISEASE SPECIALIST PLLC

Active Organization

KIDNEY DISEASE SPECIALIST PLLC is a Nephrology organization located in CANTON, Michigan. NPI 1104189448 is currently active in the NPPES registry. Verify at CMS.

Nephrology · CANTON, MI

Registration Details

NPI Number
1104189448
Provider Type
Organization
NPI Issued
Jun 21, 2012 (14.174536291325 yrs)
Last Updated
Jun 21, 2012
Licenses
4301077743 (MI)
4301077743 (MI)

Practice Information

Address
41750 MICHIGAN AVE
CANTON, MI, 481882679
Browse MI providers · Browse ZIP 48188
Phone
7343980444
Primary Specialty
Nephrology
207RN0300X
Additional Specialty
Nephrology

Other Nephrology Organizations in CANTON, MI

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.