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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