Provider Demographics
NPI:1477913242
Name:DIALYSIS ACCESS PARTNERS, PLLC
Entity Type:Organization
Organization Name:DIALYSIS ACCESS PARTNERS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHANNES
Authorized Official - Middle Name:
Authorized Official - Last Name:BUITEWEG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:989-773-2081
Mailing Address - Street 1:211 S CRAPO ST
Mailing Address - Street 2:SUITE F
Mailing Address - City:MT PLEASANT
Mailing Address - State:MI
Mailing Address - Zip Code:48858-2961
Mailing Address - Country:US
Mailing Address - Phone:989-773-2081
Mailing Address - Fax:989-773-3418
Practice Address - Street 1:211 S CRAPO ST
Practice Address - Street 2:SUITE F
Practice Address - City:MT PLEASANT
Practice Address - State:MI
Practice Address - Zip Code:48858-2961
Practice Address - Country:US
Practice Address - Phone:989-773-2081
Practice Address - Fax:989-773-3418
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-07
Last Update Date:2016-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty