GREAT LAKES DIALYSIS, L.L.C.

NPI # 

Practice Address:

14614 Kercheval St

Detroit, MI, 48215-2814

Practice Phone:

313-308-4200

Practice Fax:

313-332-0334

License Number:

4301072901

License State:

MI

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

End-Stage Renal Disease (ESRD) Treatment

Taxonomy Code:

261QE0700X

Updated by NPPES on 4/7/2025. You can view the original data set for NPI # 1720095417 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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GREAT LAKES DIALYSIS, L.L.C.'s

CMS CPT® coding data

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GREAT LAKES DIALYSIS, L.L.C.'s

CMS prescription data

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