Organization
TICHIGAN VOLUNTEER FIRE COMPANY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD A BLUHM (CHIEF)
(262) 613-6434
Entity
Organization
Contact information
Practice address
6400 INDUSTRIAL LOOP, GREENDALE, WI 53129-2452
(414) 423-4100
(414) 423-4134
Mailing address
8205 BIG BEND RD, WATERFORD, WI 53185-1257
(262) 662-3570
(262) 662-4589
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
06/16/2010
Last updated
06/16/2010
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