# VILLAGE OF KEWASKUM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kewaskum Fire Department
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396041448
- **Authorized official:** MICHELLE L SCHERFF SULIK (VICE PRESIDENT)
- **Authorized official phone:** (262) 375-9610

## Contact information

- **Practice address:** 1106 FOND DU LAC AVE, KEWASKUM, WI 53040-9492
- **Practice address phone:** (262) 626-2411
- **Practice address fax:** (262) 626-3635
- **Mailing address:** PO BOX 72140, CEDARBURG, WI 53012-7340
- **Mailing address phone:** (262) 375-9610
- **Mailing address fax:** (262) 375-9608

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 6000375 | WI | Yes |

## Other

- **Enumeration date:** 02/08/2011
- **Last updated:** 02/08/2011