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Mr. Michael Russell
Non-emergency Medical Transport (VAN) in Milwaukee, Wisconsin
NPI 1245414093

Michael Russell is a Non-emergency Medical Transport (VAN) based in Milwaukee, WI. Michael Russell practices in Milwaukee, WI. The NPI Number for Michael Russell is 1245414093 and holds a License No. 41487100 (Wisconsin).

The current practice location address for Michael Russell is 4588 N 23Rd St, Milwaukee, WI and can be reached out via phone at 414-477-4978 and via fax at 414-445-1515.

Location: 4588 N 23Rd St, Milwaukee, WI, 53209-6201
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245414093
Provider Name
Michael Russell
Credential
Provider Entity Type
Individual
Gender
Male
Address
4588 N 23Rd St, Milwaukee, WI, 53209-6201
Phone Number
414-477-4978
Fax Number
414-445-1515
Provider Enumeration Date
12/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
41487100 05 WI
institution
Provider Business Practice Location Address Details
Address
4588 N 23Rd St
City
Milwaukee
State
Wisconsin
Zip
53209-6201
Phone Number
414-477-4978
Fax Number
414-445-1515
person
Provider Business Mailing Address Details
Address
4588 N 23Rd St
City
Milwaukee
State
Wisconsin
Zip
53209-6201
Phone Number
414-477-4978
Fax Number
414-445-1515
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
41487100 (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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