Organization
CITY OF WATERLOO
Active
Other names
WATERLOO FIRE DEPARTMENT
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE L SCHERFF SULIK (VICE PRESIDENT)
(262) 375-9610
Entity
Organization
Contact information
Practice address
900 INDUSTRIAL LN, WATERLOO, WI 53594-1285
(920) 478-2535
(920) 478-9597
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41355800
—
WI
01
—
552613
COMMERCIAL
WI
Enumeration date
08/25/2006
Last updated
12/10/2010
Update your record
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