Organization
WAUNAKEE AREA EMERGENCY MEDICAL SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY M GAWLIKOSKI (SERVICE ADMINISTRATOR)
(608) 849-7522
Entity
Organization
Contact information
Practice address
201 N KLEIN DR, WAUNAKEE, WI 53597-1145
(608) 849-7522
(608) 849-7583
Mailing address
PO BOX 33, 201 N KLEIN DR, WAUNAKEE, WI 53597-0033
(608) 849-7522
(608) 849-7583
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
6001221
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41308800
—
WI
Enumeration date
08/23/2006
Last updated
10/28/2008
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