Organization
TOWN OF MADISON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE E JELLE (ADMINISTRATIVE ASSISTANT)
(608) 210-7260
Entity
Organization
Contact information
Practice address
2120 FISH HATCHERY RD, MADISON, WI 53713-1253
(608) 210-7260
(608) 210-7236
Mailing address
2120 FISH HATCHERY RD, MADISON, WI 53713-1253
(608) 210-7260
(608) 210-7236
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
6001182
WI
Other
Enumeration date
01/19/2006
Last updated
10/26/2012
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