Organization
MANITOWISH WATERS FIRE COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONARD SKROBOT (CHIEF)
(715) 543-2373
Entity
Organization
Contact information
Practice address
118 W MANITOWISH WATERS RIVER ACCESS ROAD, MANITOWISH WATERS, WI 54545
(715) 543-2373
Mailing address
PO BOX 367, MANITOWISH WATERS, WI 54545-0367
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014316
HEALTH ALLIANCE
—
01
—
1017946
PHYSICIAN'S PLUS
—
05
—
41326000
—
WI
01
—
WI0101
JOHN DEERE
—
Enumeration date
05/23/2006
Last updated
08/22/2020
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