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Darrrius Clay
Driver in Middleton, Wisconsin
NPI 1104539154

Darrrius Clay is a Driver based in Middleton, WI. Darrrius Clay practices in Middleton, WI. The NPI Number for Darrrius Clay is 1104539154 and holds a License No. C4001619522202 (Wisconsin).

The current practice location address for Darrrius Clay is 6808 University Ave Ste 108, Middleton, WI and can be reached out via phone at 608-225-4037.

Location: 6808 University Ave Ste 108, Middleton, WI, 53562-2779
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104539154
Provider Name
Darrrius Clay
Credential
Provider Entity Type
Individual
Gender
Male
Address
6808 University Ave Ste 108, Middleton, WI, 53562-2779
Phone Number
608-225-4037
Fax Number
Provider Enumeration Date
01/04/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
92-1469139 05 WI
institution
Provider Business Practice Location Address Details
Address
6808 University Ave Ste 108
City
Middleton
State
Wisconsin
Zip
53562-2779
Phone Number
608-225-4037
Fax Number
person
Provider Business Mailing Address Details
Address
6808 University Ave Ste 108
City
Middleton
State
Wisconsin
Zip
53562-2779
Phone Number
608-225-4037
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
C4001619522202 (Wisconsin)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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