Provider First Line Business Practice Location Address:
4800 MCLEOD DR E
Provider Second Line Business Practice Location Address:
BAY AREA REGIONAL DIALYSIS CTR - CKD SERVICES
Provider Business Practice Location Address City Name:
SAGINAW
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48604-2839
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
989-790-9440
Provider Business Practice Location Address Fax Number:
989-790-1335
Provider Enumeration Date:
06/30/2006