# STONE BANK VOLUNTEER FIRE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780632497
- **Authorized official:** MARK G KLOKOW (CHIEF)
- **Authorized official phone:** (262) 966-2414

## Contact information

- **Practice address:** W335N7107 STONEBANK RD, OCONOMOWOC, WI 53066-1407
- **Practice address phone:** (262) 966-2414
- **Practice address fax:** (262) 966-2831
- **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 | 6001211 | WI | Yes |

## Other

- **Enumeration date:** 05/05/2006
- **Last updated:** 09/28/2012