Healthcare Provider Details

I. General information

NPI: 1154790632
Provider Name (Legal Business Name): INTEGRATED KIDNEY SERVICES, PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2015
Last Update Date: 08/17/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2210 NEIDHAMMER DR
BAY CITY MI
48706-9497
US

IV. Provider business mailing address

2210 NEIDHAMMER DR
BAY CITY MI
48706-9497
US

V. Phone/Fax

Practice location:
  • Phone: 888-569-4010
  • Fax:
Mailing address:
  • Phone: 888-569-4010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MARCO RAMOS
Title or Position: OWNER
Credential: M.D.
Phone: 248-835-5419