Organization
GRAFTON VOLUNTEER FIRE DEPARTMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN A PLACE (CHIEF)
(262) 375-5314
Entity
Organization
Contact information
Practice address
1431 13TH AVE, GRAFTON, WI 53024-1939
(262) 377-6037
Mailing address
1431 13TH AVE, GRAFTON, WI 53024-1939
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41324700
—
WI
01
—
590010678
RAILROAD MEDICARE
WI
Enumeration date
05/28/2006
Last updated
11/29/2012
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