Organization
BROTOLOC SOUTH, INC.
Active
Other names
Brotoloc
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY SCHNEIDER (REGIONAL DIRECTOR)
(262) 473-0480
Entity
Organization
Contact information
Practice address
209 S TAFT ST, WHITEWATER, WI 53190-2139
(262) 473-0480
(262) 473-0484
Mailing address
209 S TAFT ST, WHITEWATER, WI 53190-2139
(262) 473-0480
(262) 473-0484
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
NONE
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41479200
—
WI
Enumeration date
02/13/2007
Last updated
03/18/2010
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