Organization
CITY OF WYANDOTTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEREMY MOLINE (ASSISTANT FIRE CHIEF)
(734) 324-7254
Entity
Organization
Contact information
Practice address
266 MAPLE ST, WYANDOTTE, MI 48192-5929
(734) 324-4404
(734) 324-3058
Mailing address
PO BOX 2122, RIVERVIEW, MI 48193-1122
(734) 224-4474
(734) 479-6319
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183001253
—
MI
Enumeration date
06/03/2006
Last updated
04/07/2024
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