Organization
CITY OF DELAFIELD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BALFORD FRANCIS (CPC)
(414) 423-4100
Entity
Organization
Contact information
Practice address
500 GENESEE ST, DELAFIELD, WI 53018-1817
(262) 646-6235
(262) 646-6236
Mailing address
6400 INDUSTRIAL LOOP, GREENDALE, WI 53129-2452
(414) 423-4100
(414) 423-4134
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
6001158
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41339000
—
WI
Enumeration date
09/08/2005
Last updated
08/22/2020
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