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Emergency Medical Service Providers Emergency Medical Technician, Paramedic

Provider NPI: 1225342504

Provider Information:
Gender: M
Sole Proprietor

Practice Location:
5139 HWY 66  STEVENS POINT, WI 54482 US
Tel: 715-630-5015  Fax: --

Business Mailing Address:
5139 HWY 66  STEVENS POINT, WI 54482 US
Tel: --  Fax: --

NPI Information:
NPI: 1225342504
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
N146L00000XEmergency Medical Service Providers
Emergency Medical Technician, Paramedic
Y146M00000XEmergency Medical Service Providers
Emergency Medical Technician, Intermediate
N163W00000XNursing Service Providers
Registered Nurse

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 146M00000X





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