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Organization
PLYMOUTH AMBULANCE SERVICE, INC
Active
Organization
PLYMOUTH AMBULANCE SERVICE, INC
Active
Other names
Plymouth Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN GOELZER EMT-B (DIRECTOR OF OPERATIONS)
(920) 893-0588
Entity
Organization
Contact information
Practice address
604 SOUTH MILWAUKEE STREET, PLYMOUTH, WI 53073-2102
(920) 893-0588
(920) 892-8915
Mailing address
604 SOUTH MILWAUKEE STREET, PLYMOUTH, WI 53073-2102
(920) 893-0588
(920) 892-8915
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
NULL
Other
Enumeration date
06/06/2006
Last updated
08/21/2012
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