Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lake Michigan Nephrology, LLC

Organization Specialist · NPI 1821201500

Lake Michigan Nephrology, LLC is a Specialist in Saint Joseph, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3800 Hollywood Rd Ste 104
Saint Joseph, MI 49085-8511
Phone: (269) 428-0819
Fax: (269) 428-0841
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 4301079804 (MI)

Record details

NPI number1821201500
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Brash — Owner · (269) 428-0819
NPI enumeratedMay 8, 2007
Last updated in NPPESOctober 5, 2023
Certification dateOctober 5, 2023
Mailing address3800 Hollywood Rd, Suite 104, Saint Joseph, MI 49085-8510

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