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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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