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Organization

BROOKS AMBULANCE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LEROY F BROOKS (OWNER)
(920) 324-9132
Entity
Organization

Contact information

Practice address
426 E MAIN ST, WAUPUN, WI 53963
(920) 324-9132
(920) 324-0968
Mailing address
PO BOX 369, WAUPUN, WI 53963-0369
(920) 324-9132
(920) 324-0968

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
601226
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
41308400
WI
Enumeration date
12/05/2005
Last updated
04/28/2011
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