Organization
GREEN LAKE SCHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEN BATES (DISTRICT ADMINISTRATOR)
(920) 294-6411
Entity
Organization
Contact information
Practice address
612 MILL ST, GREEN LAKE, WI 54941
(920) 294-6411
Mailing address
612 MILL ST, GREEN LAKE, WI 54941
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44226900
—
WI
Enumeration date
08/08/2007
Last updated
08/08/2007
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