Organization
OCONTO FALLS PUBLIC SCHOOLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID POLASHEK (DISTRICT ADMINISTRATOR)
(920) 848-4471
Entity
Organization
Contact information
Practice address
415 MARIE VOLK DR, OCONTO FALLS, WI 54154-1254
(920) 848-4476
(920) 848-4454
Mailing address
200 N FARM RD, OCONTO FALLS, WI 54154-1221
(920) 848-4471
(920) 848-4474
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44214000
MJ PROVIDER ID
WI
Enumeration date
10/31/2007
Last updated
08/13/2008
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