Organization
CAZENOVIA FD RESCUE SQUAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BONNIE L MARSHALL (SECRETARY-BOOKKEEPER)
(608) 983-2840
Entity
Organization
Contact information
Practice address
401 STATE HWY 58 NORTH, CAZENOVIA, WI 53924-0183
(608) 983-2840
Mailing address
PO BOX 183, 401 STATE HWY 58 NORTH, CAZENOVIA, WI 53924-0183
(608) 983-2840
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
6000515
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41341700
—
WI
Enumeration date
03/07/2007
Last updated
06/17/2008
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