OrganizationActive
Maple Grove Dialysis LLC
NPI 1255518247 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Maple Grove, MN
Provider details
- NPI number
- 1255518247
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Samuel Wey, Vp Licensure & Certification(615) 341-6641
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
15655 Grove Cir N
Maple Grove, MN 55369-4489
Phone: (763) 420-2804
Fax: (763) 420-7162
Approximate (ZIP-level) locationGet directions
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Other names (DBA / former)
- Doing business as
- Maple Grove Dialysis Unit
- Doing business as
- Maple Grove Dialysis Unit
Registry dates
- Enumerated
- 2008-01-22
- Last updated
- 2025-04-11
- Certified
- 2025-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.