# PICKEREL RESCUE SQUAD, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073375804
- **Authorized official:** LYNN A VERHAGEN AEMT,RN (EMS SERVICE DIRECTOR)
- **Authorized official phone:** (715) 216-1120

## Contact information

- **Practice address:** N9062 STATE HWY 55, PICKEREL, WI 54465
- **Practice address phone:** (715) 216-1120
- **Mailing address:** PO BOX 47, PICKEREL, WI 54465-0047
- **Mailing address phone:** (715) 216-1120
- **Mailing address fax:** (715) 484-7700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | NULL | Yes |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/26/2024
- **Last updated:** 01/26/2024