# MED ONE MOBILE LLC

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

## Provider details

- **NPI number:** 1225404338
- **Authorized official:** MR. GREGORY RYAN WIREMAN (PRESIDENT)
- **Authorized official phone:** (574) 249-8123

## Contact information

- **Practice address:** 4104 S STATE ROAD 39, NORTH JUDSON, IN 46366-8652
- **Practice address phone:** (574) 249-8123
- **Mailing address:** 4104 S STATE ROAD 39, NORTH JUDSON, IN 46366-8652
- **Mailing address phone:** (574) 249-8123

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 08/12/2015
- **Last updated:** 08/12/2015