Organization · Type 2 NPI

Village of Kewaskum

Land Ambulance · Kewaskum, WI

NPI number 1396041448 Active

Practice location

1106 Fond Du Lac Ave
Kewaskum, WI 53040-9492

Fax (262) 626-3635

Mailing address

PO Box 72140
Cedarburg, WI 53012-7340

Specialties and licenses

TaxonomyCodeLicense
Land Ambulance Primary 3416L0300X6000375 (WI)

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About NPI 1396041448

Village of Kewaskum's National Provider Identifier is 1396041448, issued on Feb 8, 2011. The primary taxonomy on file is Land Ambulance (3416L0300X), and the practice location is in Kewaskum, WI. The record was last updated on Feb 8, 2011.