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WEST MICHIGAN NEPHROLOGY PLLC NPI 1235143090


NPI Information

NPI: 1235143090
Provider Name: WEST MICHIGAN NEPHROLOGY PLLC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

CLIA Number: 23D0379906

Address:
1250 MERCY DR
SUITE 101
MUSKEGON, MI
ZIP 49444
Phone: (231) 733-1912
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WEST MICHIGAN NEPHROLOGY PLLC is a nephrology internal medicine in Muskegon, MI. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. WEST MICHIGAN NEPHROLOGY PLLC NPI is 1235143090. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1250 MERCY DR
SUITE 101
MUSKEGON, MI
ZIP 49444-881
Phone: (231) 733-1912
Fax: (231) 737-4603

The provider's authorized official is Kathy Holtz .
The authorized official title is Practice Administrator and has the following contact phone number (231) 733-1912.

The CLIA number assigned to this NPI record is 23D0379906 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/28/2006 and was last updated on 7/9/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RN0300XInternal MedicineNephrologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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