NPI | 1477600054 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL J. FAHEY Director 262-675-6262 |
Organization Subpart ? | No |
Primary Taxonomy | 146N00000X Emergency Medical Technician, Basic (Licence: WI 6000373) |
Enumeration Date | 2007-01-04 |
Last Update Date | 2020-08-22 |