Organization
SOLON AND CENTERVILLE TWP FIRE DEPT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAN PETROSKEY EMT (FIRE CHIEF)
(231) 735-5335
Entity
Organization
Contact information
Practice address
8907 RAILROAD STREET, CEDAR, MI 49621-0208
(231) 228-5396
(231) 228-5395
Mailing address
PO BOX 208, CEDAR, MI 49621-0208
(231) 228-5396
(231) 228-5395
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
451001
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3040215
—
MI
01
—
590D50005
BLUE CROSS BLUE SHIELD
MI
Enumeration date
11/01/2006
Last updated
10/25/2016
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