person
Mr. Albert Willie Burrus JR.
Driver in Milwaukee, Wisconsin
NPI 1184330318

Albert Willie Burrus JR. is a Driver based in Milwaukee, WI. Albert Willie Burrus JR. practices in Milwaukee, WI. The NPI Number for Albert Willie Burrus JR. is 1184330318 and holds a License No. (Wisconsin).

The current practice location address for Albert Willie Burrus JR. is 8610A W Potomac Ave, Milwaukee, WI and can be reached out via phone at 312-505-2519.

Location: 8610A W Potomac Ave, Milwaukee, WI, 53225-4138
person
Provider Profile Details
NPI Number
1184330318
Provider Name
Albert Willie Burrus JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
8610A W Potomac Ave, Milwaukee, WI, 53225-4138
Phone Number
312-505-2519
Fax Number
Provider Enumeration Date
01/31/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9211920762 05 WI
92192762 05 WI
institution
Provider Business Practice Location Address Details
Address
8610A W Potomac Ave
City
State
Zip
53225-4138
Phone Number
312-505-2519
Fax Number
person
Provider Business Mailing Address Details
Address
8610A W Potomac Ave
City
State
Zip
53225-4138
Phone Number
312-505-2519
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
()
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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