Organization
NORTHLAND MEDICAL TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOCELYN BRUCKERT (PARTNER)
(715) 484-2503
Entity
Organization
Contact information
Practice address
N11106 E SHORE RD, PEARSON, WI 54462-8224
(715) 484-2503
Mailing address
N11106 E SHORE RD, PEARSON, WI 54462-8224
(715) 484-2503
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
WI
Other
Enumeration date
06/04/2007
Last updated
08/22/2020
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