MEDICARE: VILLAGE OF MOUNT PLEASANT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance	6001064	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518071927
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VILLAGE OF MOUNT PLEASANT

Provider Business Mailing Address
First Line	:	PO BOX 72140
Second Line	:
City	:	CEDARBURG
State	:	WI
Zip	:	53012-7340
Country	:	US
Telephone Number	:	262-375-9610
Fax Number	:	262-375-9608

Provider Business Practice Location Address
First Line	:	3900 OLD GREEN BAY ROAD
Second Line	:
City	:	MOUNT PLEASANT
State	:	WI
Zip	:	53403-9488
Country	:	US
Telephone Number	:	262-554-8812
Fax Number	:	262-554-6785

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MS. MICHELLE SCHERFF SULIK
Credential	:
Telephone Number	:	262-375-9610

Provider Enumeration Date	:	08/19/2006
Last Update Date	:	06/03/2011

Similar Medicare Providers

1750603130 — SHELLEY L JOHNSON APNP
Practice Location Address:

4817 COPPER LEAF BLVD
MOUNT PLEASANT, WI
53403-4100

Practice Phone: 307-331-0855
Practice Fax: 262-577-8321

1528087442 — MRS. JEANETTE MARIE DE WITT PT, ATC
Practice Location Address:

6233 BANKERS RD STE 12
MOUNT PLEASANT, WI
53403-9700

Practice Phone: 262-358-6730
Practice Fax: 866-245-8064

1851315733 — RONALD L. SMITS M.D.
Practice Location Address:

6233 BANKERS RD , STE 3
MOUNT PLEASANT, WI
53403-9700

Practice Phone: 262-898-4400
Practice Fax: 262-898-4423

1932217015 — DR. EILEEN MARY BERGLUND D.C., LPC
Practice Location Address:

4305 OLD GREEN BAY RD
MOUNT PLEASANT, WI
53403-9425

Practice Phone: 262-417-6066
Practice Fax:

1962504670 — CARLYNN H CREVIER M.D.
Practice Location Address:

4328 OLD GREEN BAY RD
MOUNT PLEASANT, WI
53403-9489

Practice Phone: 262-687-7606
Practice Fax: 262-687-7615

1851467047 — GREAT LAKES DERMATOLOGY SC
Practice Location Address:

6233 BANKERS RD , SUITE 3
MOUNT PLEASANT, WI
53403-9700

Practice Phone: 262-898-4400
Practice Fax: 262-898-4423

Directions to “VILLAGE OF MOUNT PLEASANT ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.