Northwest Detroit Dialysis Center Llc, NPI 1083634463
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Southfield, MI, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1083634463
NPI Entity Type Organization
Provider Name Northwest Detroit Dialysis Center Llc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 25664 Lahser Rd, Southfield, MI, US
Provider Mailing Address 30100 Telegraph Rd, Suite 200, Bingham Farms, MI, US, 480254516
Is Sole Proprietor? No
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Organization Official

Official Name MR. David F Shepherd
Official Position VICE PRESIDENT
Phone 248-642-5038

Primary Taxonomy

Taxonomy Code

261QE0700X

Taxonomy Name End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Classification

Clinic/Center

Group

Ambulatory Health Care Facilities

Description Definition to come...

Business Address

Northwest Detroit Dialysis Center Llc
25664 Lahser Rd

Southfield, MI, US

Phone: 248-358-7521
Fax: 248-358-7522

Mailing Address

Northwest Detroit Dialysis Center Llc
30100 Telegraph Rd
Suite 200
Bingham Farms, MI, US
ZIP 480254516
Phone: 248-723-0224
Fax: 248-642-7852

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
14296 M CARE 01
10078540001 WELLNESS 01
1008733 OMNICARE 01
D8956 FED BLUE CROSS PRIMARY 01
232544 HAP 01
4568218 MI MEDICAID 05
000000003402 CAPE 01
138129 PREFERRED CHOICE 01
138129 CARE CHOICES 01
D8956 BLUE CROSS PRIMARY 01
D9466 BLUE CROSS SECONDARY 01
D9466 FED BLUE CROSS SECONDARY 01
P09457 BLUE CARE NETWORK 01
5066 GREATLAKES 01

Other Providers in MI, US

NPI Name Taxonomy Address

1659096923

Rafa Therapies

Organization

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4745 Michigan Ave

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1649715194

Leah West

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Family Nurse Practitioner

1 Genesys Pkwy

Grand Blanc, MI

1942923867

MRS. Dayna Calka

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2399 E Walton Blvd

Auburn Hills, MI

1619225489

DR. PSYD, MPH Shervin Tehrani-rad

Individual

Clinical Psychologist

415 Main St Ste A

Saint Joseph, MI

1770990392

DR. PSYD Amreeta Gill

Individual

Clinical Psychologist

415 Main St Ste A

Saint Joseph, MI

1144940149

Mackenzie Louise Meredith

Individual

Family Nurse Practitioner

1402 W 14 Mile Rd

Clawson, MI

1881058709

DR. M.D., M.S. Marco Antonio Peterson JR.

Individual

Family Medicine Physician

1101 W University Dr

2 South

Rochester, MI

1053804146

PT Esther Karunakar

Individual

Physical Therapist

6711 Westpointe Dr

Troy, MI

1033179189

MD Sailaja Yadavalli

Individual

Diagnostic Radiology Physician

3601 W 13 Mile Rd

Royal Oak, MI

1205896263

MD Jeffery Wong

Individual

Diagnostic Radiology Physician

44201 Dequindre

Troy, MI

1639371859

MRS. P.A.-C Sarah Zukowski Wilhelm

Individual

Physician Assistant

3601 W 13 Mile Rd

Royal Oak, MI

1164482253

MD Bridget Wiater

Individual

Diagnostic Radiology Physician

3601 W 13 Mile Rd

400 Fsc-pcs

Royal Oak, MI

1699735696

MD Robert Weinfeld

Individual

Diagnostic Radiology Physician

44201 Dequindre Rd

Troy, MI

1164482139

M.D. Ann E Swinford

Individual

Diagnostic Radiology Physician

3601 W 13 Mile Rd

Royal Oak, MI

1215568928

Lindsay Essig

Individual

Behavioral Analyst

1913 Cambridge Dr

Kalamazoo, MI

1821453663

LPC Jonathan Hart

Individual

Professional Counselor

52188 Van Dyke Ave Ste 300

Shelby Township, MI

1952958894

DDS, MS Suhaib Alqawasmeh

Individual

General Practice Dentistry

30090 23 Mile Rd

Chesterfield, MI

1205454402

Alexis K Willmore

Individual

Physician Assistant

3950 Hollywood Rd Ste 280

Saint Joseph, MI

1841221108

DR. DO, MPH Jimmy Wayne Brandon

Individual

Preventive Medicine/Occupational Environmental Medicine Physician

G-3100 Van Slyke Road

General Motors Health Services / Flint Assembly

Flint, MI

1891221545

Logan Morse

Individual

Pharmacist

7343 Oakhaven Ct Ne

Ada, MI

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