Menominee Indian Tribe of Wisconsin
NPI #1508808643 in Keshena, Wisconsin
Provider Information
- NPI Number
- 1508808643
- Entity Type
- Organization
- Organization Name
- Menominee Indian Tribe of Wisconsin
- Primary Specialty
- Ambulance
- Enumeration Date
- Jun 12, 2006
- Last Updated
- Oct 24, 2007
Practice Location
Authorized Official
- Name
- JERRY L WAUKAU SR.
- Title
- HEALTH ADMINISTRATOR
- Phone
- (715) 799-3361
Specialties & Taxonomy Codes
| Specialty |
|---|
| Ambulance |
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