Organization
VILLAGE OF NORTH PRAIRIE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANET M WHETTAM (OFFICE MANAGER)
(262) 542-9699
Entity
Organization
Contact information
Practice address
108 N OAKRIDGE DRIVE, NORTH PRAIRIE, WI 53153
(262) 543-9699
(262) 549-9177
Mailing address
PO BOX 276, 130 N HARRISON ST, NORTH PRAIRIE, WI 53153
(262) 542-9699
(262) 549-9177
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
6001252
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41351100
—
WI
Enumeration date
01/18/2007
Last updated
08/22/2020
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