Organization
CITY OF RED WING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARSHALL HALLOCK (FINANCE DIRECTOR)
(651) 385-3602
Entity
Organization
Contact information
Practice address
315 W 4TH ST, RED WING, MN 55066
(651) 385-3600
(651) 388-9608
Mailing address
315 W 4TH ST, RED WING, MN 55066
(651) 385-3600
(651) 388-9608
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0204
MN
3416L0300X
Land Ambulance
6000706
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261067100
—
MN
Enumeration date
02/07/2007
Last updated
08/18/2008
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