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Organization
KETTLE MORAINE AMBULANCE, LLC
Active
Organization
KETTLE MORAINE AMBULANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD ROMANSHEK (OWNER)
(414) 358-1111
Entity
Organization
Contact information
Practice address
380 BLUEMOUND RD, WAUKESHA, WI 53188-1751
(414) 358-1111
(414) 365-3889
Mailing address
PO BOX 240096, MILWAUKEE, WI 53224-9005
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
NULL
Other
Enumeration date
11/10/2016
Last updated
11/22/2016
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