Organization
DICKEYVILLE RESCUE SQUAD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DALLAS EDMUND DIETZEL LICENSED AEMT (PRESIDENT)
(563) 580-0130
Entity
Organization
Contact information
Practice address
300 SPLINTER AVE, DICKEYVILLE, WI 53808-6888
(608) 568-3095
(608) 568-3753
Mailing address
300 SPLINTER AVE, DICKEYVILLE, WI 53808-6888
(608) 568-3095
(608) 568-3753
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
11/07/2006
Last updated
08/02/2021
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