GREAT LAKES DIALYSIS, L.L.C.
Ambulatory Health at Kercheval St, Detroit, MI

License number
Michigan 4301072901
Category
Ambulatory Health
Type
End-Stage Renal Disease (ESRD) Treatment
Owner
Name: DR. BONIFACE ATAKEKOR TUBIE M.D.
Title: PRESIDENT/ CEO
Phone: (313) 924-9670
Address
Address
14614 Kercheval St, Detroit, MI 48215
National Provider ID: 1720095417
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about GREAT LAKES DIALYSIS, L.L.C. at bizstanding.com

Great Lakes Dialysis LLC

764 Washington Rd, Detroit, MI 48230

Status:
Inactive
Industry:
Kidney Dialysis Centers

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