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Organization
SOLON AND CENTERVILLE TWP FIRE DEPT
Active
Organization
SOLON AND CENTERVILLE TWP FIRE DEPT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAN PETROSKEY EMT (FIRE CHIEF)
(231) 735-5335
Entity
Organization
Contact information
Practice address
8907 RAILROAD STREET, CEDAR, MI 49621-0208
(231) 228-5396
(231) 228-5395
Mailing address
PO BOX 208, CEDAR, MI 49621-0208
(231) 228-5396
(231) 228-5395
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
451001
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3040215
—
MI
01
—
590D50005
BLUE CROSS BLUE SHIELD
MI
Enumeration date
11/01/2006
Last updated
10/25/2016
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