Organization
VILLAGE OF MUKWONAGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY A ROLFE EMT (FIRE CHIEF)
(262) 363-6426
Entity
Organization
Contact information
Practice address
440 RIVERCREST CT, MUKWONAGO, WI 53149-1759
(262) 363-6426
(262) 363-6454
Mailing address
6400 INDUSTRIAL LOOP, GREENDALE, WI 53129-2452
(414) 423-4100
(414) 423-4134
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41339900
—
WI
Enumeration date
11/25/2005
Last updated
08/22/2020
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