Organization
GLEN ARBOR TOWNSHIP
Active
Other names
Glen Lake Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN FERGUSON (FIRE CHIEF)
(231) 334-3279
Entity
Organization
Contact information
Practice address
6401 WEST STATE ST, GLEN ARBOR, MI 49636
(231) 334-3279
Mailing address
6401 WEST STATE ST, GLEN ARBOR, MI 49636
(231) 334-3279
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
451002
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3004818
—
MI
01
—
590D50006
BLUE CROSS BLUE SHIELD
MI
Enumeration date
11/02/2006
Last updated
09/25/2024
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