Organization
CITY OF APPLETON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROMAN A FIDLER (CLERK TREASURER)
(320) 289-1363
Entity
Organization
Contact information
Practice address
323 W. SCHLIEMAN AVE., APPLETON, MN 56208-1299
(320) 289-1363
(320) 289-1364
Mailing address
323 W. SCHLIEMAN AVE., APPLETON, MN 56208-1299
(320) 289-1363
(320) 289-1364
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0009
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
127293
UCARE
MN
01
—
44023AP
BCBS
MN
Enumeration date
11/15/2006
Last updated
08/22/2020
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