Organization
CITY OF FOND DU LAC
Active
Other names
City of Fond du Lac Fire Deparment
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EILEEN M BAUS (SENIOR ACCOUNTANT)
(920) 322-3454
Entity
Organization
Contact information
Practice address
815 S MAIN ST, FOND DU LAC, WI 54935-5738
(920) 322-3800
Mailing address
160 S MACY ST, PO BOX 150, FOND DU LAC, WI 54935-4241
(920) 322-3454
(920) 322-3402
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
6000344
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41323900
—
WI
01
—
590094069
MEDICARE RAILROAD
WI
Enumeration date
01/06/2007
Last updated
03/07/2017
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