Organization
DELAVAN RESCUE SQUAD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN KRAMER (CHIEF)
(262) 728-9759
Entity
Organization
Contact information
Practice address
651 ANN ST, DELAVAN, WI 53115-1840
(262) 728-9759
Mailing address
PO BOX 371, DELAVAN, WI 53115-0371
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1016748
PHYSICIAN'S PLUS
—
05
—
2567860
—
OH
01
—
41313900
HIRSP
WI
01
—
41313900
NETWORK HEALTH PLAN
—
05
—
41313900
—
WI
01
—
WI0100
JOHN DEERE
—
Enumeration date
05/18/2006
Last updated
08/22/2020
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