Organization
TOWN OF LAND O LAKES
Active
Other names
Land O' Lakes Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
SIG BAAKE (SUPERVISOR)
(715) 547-3255
Entity
Organization
Contact information
Practice address
4337 HWY B, LAND O' LAKES, WI 54540
(715) 547-3255
Mailing address
PO BOX 660, LAND O LAKES, WI 54540-0660
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000088714
ADVOCARE MCHMO
—
05
—
323265400
—
MN
05
—
41342800
—
WI
05
—
4591575
—
MI
01
—
WI0100
JOHN DEERE
—
Enumeration date
05/27/2006
Last updated
10/26/2012
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