Organization
VILLAGE OF MOUNT PLEASANT
Active
Other names
SOUTH SHORE CONSOLIDATED FIRE DEPARTMENT
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE SCHERFF SULIK (VICE PRESIDENT)
(262) 375-9610
Entity
Organization
Contact information
Practice address
3900 OLD GREEN BAY ROAD, MOUNT PLEASANT, WI 53403-9488
(262) 554-8812
(262) 554-6785
Mailing address
PO BOX 72140, CEDARBURG, WI 53012-7340
(262) 375-9610
(262) 375-9608
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
6001064
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41305300
—
WI
Enumeration date
08/19/2006
Last updated
06/03/2011
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