Organization
CITY OF JANESVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORENA RAE STOTTLER (CLERK-TREASURER)
(608) 755-3072
Entity
Organization
Contact information
Practice address
18 N JACKSON ST, JANESVILLE, WI 53548
(608) 755-3000
(608) 755-3196
Mailing address
PO BOX 457, WHEELING, IL 60090-0457
(847) 577-8811
(800) 329-5274
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41322800
—
WI
Enumeration date
12/05/2006
Last updated
09/19/2023
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