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Russell Deon Varnado
Non-emergency Medical Transport (VAN) in Milwaukee, Wisconsin
NPI 1255083408

Russell Deon Varnado is a Non-emergency Medical Transport (VAN) based in Milwaukee, WI. Russell Deon Varnado practices in Milwaukee, WI. The NPI Number for Russell Deon Varnado is 1255083408 and holds a License No. (Wisconsin).

The current practice location address for Russell Deon Varnado is 2650 N 20Th St, Milwaukee, WI and can be reached out via phone at 414-502-5141.

Location: 2650 N 20Th St, Milwaukee, WI, 53206-1501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255083408
Provider Name
Russell Deon Varnado
Credential
Provider Entity Type
Individual
Gender
Male
Address
2650 N 20Th St, Milwaukee, WI, 53206-1501
Phone Number
414-502-5141
Fax Number
Provider Enumeration Date
01/19/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100191125 01 WI EVV PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
2650 N 20Th St
City
Milwaukee
State
Wisconsin
Zip
53206-1501
Phone Number
414-502-5141
Fax Number
person
Provider Business Mailing Address Details
Address
2650 N 20Th St
City
Milwaukee
State
Wisconsin
Zip
53206-1501
Phone Number
414-502-5141
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
()
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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