Organization
VILLAGE OF ELM GROVE
Active
Other names
ELM GROVE EMERGENCY MEDICAL SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE L SCHERFF SULIK (VICE PRESIDENT)
(262) 375-9610
Entity
Organization
Contact information
Practice address
13600 JUNEAU BLVD, ELM GROVE, WI 53122-1654
(262) 782-6700
(262) 782-8714
Mailing address
PO BOX 72140, CEDARBURG, WI 53012-7340
(262) 375-9610
(262) 375-9608
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41349100
—
WI
Enumeration date
08/19/2006
Last updated
04/08/2011
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