# WAUNAKEE AREA EMERGENCY MEDICAL SERVICE

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

## Provider details

- **NPI number:** 1881701258
- **Authorized official:** MR. JAY M GAWLIKOSKI (SERVICE ADMINISTRATOR)
- **Authorized official phone:** (608) 849-7522

## Contact information

- **Practice address:** 201 N KLEIN DR, WAUNAKEE, WI 53597-1145
- **Practice address phone:** (608) 849-7522
- **Practice address fax:** (608) 849-7583
- **Mailing address:** PO BOX 33, 201 N KLEIN DR, WAUNAKEE, WI 53597-0033
- **Mailing address phone:** (608) 849-7522
- **Mailing address fax:** (608) 849-7583

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 6001221 | WI | Yes |

## Other

- **Enumeration date:** 08/23/2006
- **Last updated:** 10/28/2008