Organization
TOWN OF DELAFIELD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANET M WHETTAM (OFFICE MANAGER)
(262) 542-9699
Entity
Organization
Contact information
Practice address
W304N2455 MAPLE AVE, PEWAUKEE, WI 53072
(262) 542-9699
(262) 549-9177
Mailing address
N14W30782 GOLF RD, DELAFIELD, WI 53018
(262) 542-9699
(262) 549-9177
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
6000561
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41314900
—
WI
Enumeration date
01/16/2007
Last updated
10/08/2008
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