Organization
ANDRESEN AMBULANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ANDRESEN (BUSINESS MANAGER)
(608) 647-6075
Entity
Organization
Contact information
Practice address
85 E ROBB RD, RICHLAND CENTER, WI 53581-9201
(608) 647-6075
(877) 344-1170
Mailing address
PO BOX 457, WHEELING, IL 60090-0457
(847) 577-8811
(847) 577-9515
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
6603155
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41360900
—
WI
01
—
P00270526
MEDICARE RAILROAD
WI
Enumeration date
05/31/2006
Last updated
08/22/2020
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