Organization
PALMYRA FIRE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID SULIK (OPER MGR)
(262) 375-9610
Entity
Organization
Contact information
Practice address
126 N FIRST STREET, PALMYRA, WI 53156
(262) 375-9610
Mailing address
PO BOX 72140, CEDARBURG, WI 53012-7340
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41344500
—
WI
Enumeration date
06/07/2007
Last updated
08/22/2020
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