Organization
CITY OF OCONOMOWOC
Active
Other names
Oconomowoc Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLENN R LEIDEL (DEPUTY FIRE CHIEF)
(262) 569-3223
Entity
Organization
Contact information
Practice address
212 S CONCORD RD, OCONOMOWOC, WI 53066-3503
(262) 569-3223
(262) 569-3297
Mailing address
212 S CONCORD RD, OCONOMOWOC, WI 53066-3503
(262) 569-3223
(262) 569-3297
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
6001152
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41306800
—
WI
01
—
791590219
RR CARE
WI
Enumeration date
05/16/2006
Last updated
02/06/2009
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