Organization
CEDAR RAPIDS FIRE DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADFORD WISNOUSKY D.O. (MEDICAL DIRECTOR)
(319) 533-2376
Entity
Organization
Contact information
Practice address
713 1ST AVE SE, CEDAR RAPIDS, IA 52401-1321
(319) 286-5242
Mailing address
713 1ST AVE SE, CEDAR RAPIDS, IA 52401-1321
(319) 286-5242
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
04/04/2017
Last updated
04/04/2017
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