Organization
VILLAGE OF FREDONIA
Active
Other names
Village of Fredonia Northern Ozaukee Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE STEFFEN (CAPTAIN)
(262) 692-9973
Entity
Organization
Contact information
Practice address
201 S MILWAUKEE ST, FREDONIA, WI 53021-9485
(262) 692-9973
Mailing address
PO BOX 177, FREDONIA, WI 53021-0177
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1022523
PHYSICIAN'S PLUS
—
01
—
41325600
HIRSP
WI
05
—
41325600
—
WI
01
—
WI0101
JOHN DEERE
—
Enumeration date
05/15/2006
Last updated
04/20/2008
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