Waupun Memorial Hospital

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1881672004

Waupun Memorial Hospital provides End-Stage Renal Disease (ESRD) Treatment Clinic/Center services in Beaver Dam, Wisconsin. Registered with an NPI since 2006.

In the registry since: 2006

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Practice location Address checks out

110 Monroe St
Beaver Dam, WI 53916-2437
Phone: (920) 887-3376
Fax: (920) 887-3532

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary)	Taxonomy 261QE0700X

Record details

NPI number	1881672004
Entity type	Organization (Type 2)
Organization subpart	Yes
Parent organization	Waupun Memorial Hospital
Authorized official	Troy Walker — Director Of Finance · (608) 356-1423
Other names	Ssm Health Dialysis Center
NPI enumerated	January 6, 2006
Last updated in NPPES	April 20, 2022
Certification date	April 20, 2022
Mailing address	Po Box 1283, Fond Du Lac, WI 54936-1283

Clinicians affiliated with this facility

Clinicians the CMS Facility Affiliation file lists at this facility.

Dr. Zubin Thomas Lathara, MD Nephrology Physician · Milwaukee, WI
Dr. Bret N Pasiuk, MD Nephrology Physician · Fond Du Lac, WI
Nancy Diane Preder, DNP, APRN, BC Nurse Practitioner · Fond Du Lac, WI