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Dwayne Smith
Non-emergency Medical Transport (VAN) in Milwaukee, Wisconsin
NPI 1114689601

Dwayne Smith is a Non-emergency Medical Transport (VAN) based in Milwaukee, WI. Dwayne Smith practices in Milwaukee, WI. The NPI Number for Dwayne Smith is 1114689601 and holds a License No. (Wisconsin).

The current practice location address for Dwayne Smith is 3521 N 53Rd St, Milwaukee, WI and can be reached out via phone at 608-888-3492.

Location: 3521 N 53Rd St, Milwaukee, WI, 53204-2405
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114689601
Provider Name
Dwayne Smith
Credential
Provider Entity Type
Individual
Gender
Male
Address
3521 N 53Rd St, Milwaukee, WI, 53204-2405
Phone Number
608-888-3492
Fax Number
Provider Enumeration Date
10/12/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1689007932 05 WI
institution
Provider Business Practice Location Address Details
Address
3521 N 53Rd St
City
Milwaukee
State
Wisconsin
Zip
53216-2950
Phone Number
608-888-3492
Fax Number
person
Provider Business Mailing Address Details
Address
3521 N 53Rd St
City
Milwaukee
State
Wisconsin
Zip
53216-2950
Phone Number
608-888-3492
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
(Wisconsin)
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
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