Organization
PRAIRIE DU CHIEN RESCUE SQUAD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN KORESH (PRESIDENT)
(608) 326-4441
Entity
Organization
Contact information
Practice address
528 S STATE ST, PRAIRIE DU CHIEN, WI 53821-2130
(608) 326-4441
Mailing address
528 S STATE ST, PRAIRIE DU CHIEN, WI 53821-2130
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0980672
—
IA
01
—
1012582
PHYSICIAN'S PLUS
—
01
—
41349300
HIRSP
WI
05
—
41349300
—
WI
01
—
WI0100
JOHN DEERE
—
Enumeration date
05/12/2006
Last updated
04/20/2008
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