Organization
VILLAGE OF PALMYRA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE CLAUDE KREGER (FIRE CHIEF)
(262) 495-2380
Entity
Organization
Contact information
Practice address
126 N. FIRST STREET, PALMYRA, WI 53156
(262) 495-2380
Mailing address
PO BOX 380, 100 W TAFT ST., PALMYRA, WI 53156
(262) 495-8316
(262) 495-8775
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
6604921
WI
Other
Enumeration date
03/29/2012
Last updated
07/02/2012
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