Lake Michigan Nephrology, LLC
Lake Michigan Nephrology, LLC provides Specialist services in Saint Joseph, Michigan. Licensed in Michigan. Registered with an NPI since 2007.
- Licensed in
- MI
- In the registry since
- 2007
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3800 Hollywood Rd Ste 104Saint Joseph, MI 49085-8511
Phone: (269) 428-0819
Fax: (269) 428-0841
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence 4301079804 (MI) |
|---|
Record details
| NPI number | 1821201500 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Daniel Brash — Owner · (269) 428-0819 |
| NPI enumerated | May 8, 2007 |
| Last updated in NPPES | October 5, 2023 |
| Certification date | October 5, 2023 |
| Mailing address | 3800 Hollywood Rd, Suite 104, Saint Joseph, MI 49085-8510 |
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