Organization
MENOMINEE INDIAN TRIBE OF WISCONSIN
Active
Other names
Menominee Tribal Rescue Service
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY L WAUKAU SR. (HEALTH ADMINISTRATOR)
(715) 799-3361
Entity
Organization
Contact information
Practice address
W3275 WOLF RIVER ROAD, KESHENA, WI 54135
(715) 799-3361
(715) 799-3099
Mailing address
PO BOX 970, KESHENA, WI 54135-0970
(715) 799-3361
(715) 799-3099
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
6001236
WI
Other
Enumeration date
06/12/2006
Last updated
10/24/2007
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