Plymouth Ambulance Service, INC

NPI #1740229582 in Plymouth, Wisconsin

Provider Information

NPI Number
1740229582
Entity Type
Organization
Organization Name
Plymouth Ambulance Service, INC
Primary Specialty
Ambulance - Land Transport
Enumeration Date
Jun 6, 2006
Last Updated
Aug 21, 2012

Practice Location

Address
604 SOUTH MILWAUKEE STREET
ZIP Code
53073-2102
Phone
(920) 893-0588

Authorized Official

Name
BRIAN GOELZER, EMT-B
Title
DIRECTOR OF OPERATIONS
Phone
(920) 893-0588

Specialties & Taxonomy Codes

Specialty
Ambulance - Land TransportLand Transport

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Provider Name
City of Plymouth

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