Organization
CITY OF HORICON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID J PASEWALD (CITY CLERK-TREASURER)
(920) 485-3500
Entity
Organization
Contact information
Practice address
404 E LAKE ST, HORICON, WI 53032-1245
(920) 485-3500
Mailing address
404 E LAKE ST, HORICON, WI 53032-1245
(920) 485-3500
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41341200
—
WI
Enumeration date
07/29/2006
Last updated
08/22/2020
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