Organization
VILLAGE OF WILTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY ROBERT LIKELY (SERVICE DIRECTOR)
(608) 387-0068
Entity
Organization
Contact information
Practice address
801 CENTER ST, WILTON, WI 54670-7705
(608) 435-6666
(608) 435-6692
Mailing address
400 EAST ST, WILTON, WI 54670-7762
(608) 435-6666
(608) 435-6692
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
6001019
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41328200
—
WI
Enumeration date
11/21/2006
Last updated
04/16/2026
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