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Organization

TOWNSHIP BOARD OF SOUTH BRANCH

Active
Other names
South Branch Township Fire & EMS
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LAURIE LUCK (SUPERVISOR/SOUTH BRANCH TOWNSHIP)
(989) 275-8232
Entity
Organization

Contact information

Practice address
5245 N M-18, ROSCOMMON, MI 48653
(989) 275-8232
(989) 275-5711
Mailing address
PO BOX 2122, RIVERVIEW, MI 48193-1122
(734) 479-6300
(734) 479-6319

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
201004
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2906432
MI
Enumeration date
10/18/2006
Last updated
10/22/2010
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