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Organization

CITY OF CHIPPEWA FALLS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THOMAS KENT LARSON (FIRE CHIEF)
(715) 726-2712
Entity
Organization

Contact information

Practice address
211 BAY ST, CHIPPEWA FALLS, WI 54729-2659
(715) 723-5710
Mailing address
211 BAY ST, CHIPPEWA FALLS, WI 54729-2659

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000081087
TMG
01
1012453
PHYSICIAN'S PLUS
01
41345700
HIRSP
WI
05
41345700
WI
05
418913200
MN
01
8182929
MEDICA
01
WI0101
JOHN DEERE
Enumeration date
05/19/2006
Last updated
07/30/2008
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