Organization
KEWASKUM FIRE DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID SULIK (BILLING MANAGER)
(262) 375-9610
Entity
Organization
Contact information
Practice address
1106 FOND DU LAC AVE, KEWASKUM, WI 53040
(262) 626-2842
Mailing address
PO BOX 72140, CEDARBURG, WI 53012-7340
(262) 375-9610
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41329200
—
WI
Enumeration date
08/19/2006
Last updated
02/19/2008
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