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Organization

TOWN OF IXONIA

Active
Other names
Town of Ixonia Fire & EMS
Organization subpart
No

Provider details

NPI number
Authorized official
MATT PETRIE (CHIEF)
(920) 261-2440
Entity
Organization

Contact information

Practice address
N8320 NORTH ST, IXONIA, WI 53036-9710
(262) 261-2440
Mailing address
PO BOX 109, IXONIA, WI 53036-0109
(920) 261-2440

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
41339600
WI
Enumeration date
05/20/2006
Last updated
09/13/2011
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