DVA RENAL HEALTHCARE INC is an end-stage renal disease (esrd) treatment clinic center in Milwaukee, WI. DVA RENAL HEALTHCARE INC NPI is 1144285917. The provider is registered as an organization entity type.
The provider Is Doing Business As Wisconsin Avenue Dialysis.
The provider's business location address is:
3801 W WISCONSIN AVE
MILWAUKEE, WI
ZIP 53208-155
Phone: (414) 937-8240
Fax: (414) 937-8248
The provider's authorized official is Samuel T Wey .
The authorized official title is Vp Licensure & Certification and has the following contact phone number (615) 341-6641.
The CLIA number assigned to this NPI record is 52D0390271 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/17/2006 and was last updated on 11/29/2023.