Organization · Type 2 NPI

Random Lake Fire Department

Land Ambulance · Random Lake, WI

NPI number 1174514103 Active

Practice location

718 N Spring St
Random Lake, WI 53075-1725

Fax (920) 994-2678

Specialties and licenses

TaxonomyCodeLicense
Land Ambulance Primary 3416L0300X60-01170 (WI)

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About NPI 1174514103

Random Lake Fire Department's National Provider Identifier is 1174514103, issued on Oct 31, 2005. The primary taxonomy on file is Land Ambulance (3416L0300X), and the practice location is in Random Lake, WI. The record was last updated on Aug 22, 2020.