# CEDARBURG FIRE / RESCUE

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

## Provider details

- **NPI number:** 1134176787
- **Authorized official:** RICHARD R VAN DINTER (CHIEF)
- **Authorized official phone:** (262) 375-7630

## Contact information

- **Practice address:** W61N631 MEQUON AVE, CEDARBURG, WI 53012-2017
- **Practice address phone:** (262) 375-7630
- **Mailing address:** W61N631 MEQUON AVE, CEDARBURG, WI 53012-2017
- **Mailing address phone:** (262) 375-7630

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 6000521 | WI | Yes |

## Other

- **Enumeration date:** 05/28/2006
- **Last updated:** 01/14/2008