Village of Clear Lake
NPI #1528011657 in Clear Lake, Wisconsin
Provider Information
- NPI Number
- 1528011657
- Entity Type
- Organization
- Organization Name
- Village of Clear Lake
- Primary Specialty
- Ambulance - Land Transport
- Enumeration Date
- May 18, 2006
- Last Updated
- Jan 6, 2025
Practice Location
- Address
- 457 3RD AVE
- City
- Clear Lake
- State
- Wisconsin
- ZIP Code
- 54005-8905
- Phone
- (715) 263-2804
Authorized Official
- Name
- MISTY WOOD, RN
- Title
- DIRECTOR/RN
- Phone
- (602) 670-1386
Specialties & Taxonomy Codes
| Specialty |
|---|
| Ambulance - Land Transport — Land Transport |
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