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FRESENIUS MEDICAL CARE FORT WAYNE, LLC

Ambulatory Health Care Facilities Clinic/Center End-Stage Renal Disease (ESRD) Treatment

Provider NPI: 1215358825

Organization Information:
Organization Name:  FRESENIUS MEDICAL CARE FORT WAYNE, LLC
Organization is Subpart
Authorized Official:  MARK R FAWCETT  VP AND TREASURER  781-699-9000

Practice Location:
1797 W KEM RD  MARION, IN 46952-1733 US
Tel: 765-662-9792  Fax: 765-662-9792

Business Mailing Address:
1797 W KEM RD  MARION, IN 46952-1733 US
Tel: 765-662-9792  Fax: 765-662-9792

NPI Information:
NPI: 1215358825
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QE0700XAmbulatory Health Care Facilities
Clinic/Center
End-Stage Renal Disease (ESRD) Treatment

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 261QE0700X

Type:

Classification:



Definition:



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