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Organization
NORMAN TOWNSHIP
Active
Organization
NORMAN TOWNSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD COLE EMT, CADS (CAPTAIN)
(231) 848-4495
Entity
Organization
Contact information
Practice address
17206 8TH STREET, WELLSTON, MI 49689-0143
(231) 848-4495
(231) 848-4494
Mailing address
PO BOX 143, 17206 8TH STREET, WELLSTON, MI 49689-0143
(231) 848-4495
(231) 848-4495
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
511002
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2729365
—
MI
01
—
590E110260
BLUE CROSS BLUE SHIELD
MI
Enumeration date
10/10/2007
Last updated
08/26/2024
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