Organization
HEARTLINE MEDIX, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY D FIEDLER (PRESIDENT)
(920) 623-2226
Entity
Organization
Contact information
Practice address
240 N WATER ST, COLUMBUS, WI 53925-1539
(920) 623-2226
(920) 623-2170
Mailing address
PO BOX 2122, RIVERVIEW, MI 48193-1122
(920) 623-2226
(920) 623-2170
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
6600001
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41354600
—
WI
Enumeration date
10/24/2006
Last updated
04/20/2008
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