| NPI | 1134176787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD R VAN DINTER Chief 262-375-7630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport (Licence: WI 6000521) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2008-01-14 |