person
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. You can also correspond with Michael Russell through the mailing address at 4588 N 23RD ST, MILWAUKEE, WI - 53209-6201 (mailing address contact number: 414-477-4978).

Location: 4588 N 23Rd St, Milwaukee, WI, 53209-6201
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
State
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
State
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
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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