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Organization
VILLAGE OF KEWASKUM
Active
Organization
VILLAGE OF KEWASKUM
Active
Other names
Kewaskum Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE L SCHERFF SULIK (VICE PRESIDENT)
(262) 375-9610
Entity
Organization
Contact information
Practice address
1106 FOND DU LAC AVE, KEWASKUM, WI 53040-9492
(262) 626-2411
(262) 626-3635
Mailing address
PO BOX 72140, CEDARBURG, WI 53012-7340
(262) 375-9610
(262) 375-9608
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
6000375
WI
Other
Enumeration date
02/08/2011
Last updated
02/08/2011
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