NPI 1245849850

William M Icard

Practitioner Basic Emergency Medical Technician Deer Park, WI

Practice location

Address: 1679 County Road H, Deer Park, WI 54007-7102
Phone: (715) 607-0392
Mailing address: PO Box 34, Deer Park, WI 54007-0034

Registered specialties

Basic Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146N00000X Licence 70104929 (WI)

Other Emergency Medical Technician, Basic providers in Wisconsin →

Registry record

NPI: 1245849850
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jul 2020
Record last updated: 29 Jul 2020

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.