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  3. Indiana
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  5. Duston Dialysis, Llc
Organization

Duston Dialysis, Llc

May also be knows as Fort Wayne North Dialysis

End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Fort Wayne, IN(View on Map)

Legal Business Name

Duston Dialysis, Llc

Also Known As

Fort Wayne North Dialysis

NPI Number

1558716019

NPI Type

Organization

Enumeration Date

05/03/2016

Specialties

(Taxonomies)

Name

End-Stage Renal Disease (ESRD) Treatment Clinic/Center

Code

261QE0700X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

5200 VIRGINIA WAY
415 E DUPONT RD

City

Brentwood
Fort Wayne

State

TN
IN

Postal Code

37027-7569
46825-2051

Country

US
US

Telephone Number

N/A
(260) 637-0431

Authorized Official

Name

Samuel Wey

Title or Position

VP LICENSURE & CERTIFICATION

Telephone Number

(615) 341-6641

Identifiers

Identifier

300010335

Identifier State

IN

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/05/2024

Provider Address

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