# EMERGENCY RESCUE SQUAD INC

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

## Provider details

- **NPI number:** 1124695069
- **Authorized official:** GREGORY LOLL (AMBULANCE MANAGER)
- **Authorized official phone:** (715) 735-3261

## Contact information

- **Practice address:** 2710 WOLESKE RD, MARINETTE, WI 54143-3844
- **Practice address phone:** (715) 735-3261
- **Mailing address:** PO BOX 547, MARINETTE, WI 54143-0547
- **Mailing address phone:** (715) 735-3261

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 06/09/2021
- **Last updated:** 07/09/2021