# CITY OF WIXOM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** City of Wixom Fire Department
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235453481
- **Authorized official:** JEFFERY ROBERTS (CHIEF)
- **Authorized official phone:** (248) 624-1055

## Contact information

- **Practice address:** 1345 N WIXOM RD, WIXOM, MI 48393-1407
- **Practice address phone:** (248) 624-1055
- **Practice address fax:** (248) 624-0861
- **Mailing address:** 1345 N WIXOM RD, WIXOM, MI 48393-1407
- **Mailing address phone:** (248) 624-1055
- **Mailing address fax:** (248) 624-0861

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 631030 | MI | Yes |

## Other

- **Enumeration date:** 03/17/2010
- **Last updated:** 06/10/2010
