NPI 1053401018

City of South Milwaukee

Organisation Land Ambulance South Milwaukee, WI

Practice location

Address: 2424 15th Ave, South Milwaukee, WI 53172-2410
Phone: (414) 762-2222
Fax: (414) 762-3272

Authorised official

Name: Shannon Hrdlicka
Title: Administrative Assistant
Phone: (414) 768-8191

Registered specialties

Land Ambulance Primary

Transportation Services Taxonomy 3416L0300X Licence 6000171 (WI)

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Registry record

NPI: 1053401018
Entity type: Organization
NPI issued: 13 Oct 2006
Record last updated: 24 Aug 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.