City of Lake Geneva

NPI #1760438246 in Lake Geneva, Wisconsin

Provider Information

NPI Number
1760438246
Entity Type
Organization
Organization Name
City of Lake Geneva
Primary Specialty
Ambulance - Land Transport
Enumeration Date
May 26, 2006
Last Updated
Jun 20, 2008

Practice Location

Address
730 MARSHALL ST
ZIP Code
53147-1436
Phone
(262) 248-3673

Authorized Official

Name
MS. DIANA DYKSTRA
Title
CITY CLERK
Phone
(262) 248-3673

Specialties & Taxonomy Codes

Specialty
Ambulance - Land TransportLand Transport

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