Organization
INTEGRATED FIRST RESPONSE-GREAT LAKES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUG DAVID ANDERSON (TREASURER)
(605) 366-3299
Entity
Organization
Contact information
Practice address
2260 WOODWARD AVE, KINGSFORD, MI 49802
(855) 437-9114
Mailing address
PO BOX 512, BRANDON, SD 57005-0512
(605) 582-6096
(605) 582-8983
Taxonomy
Speciality
Code
Description
License number
State
3416A0800X
Air Ambulance
Primary
—
—
3416L0300X
Land Ambulance
—
—
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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