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Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEVIN FREEMAN (OWNER)
(414) 238-8902
Entity
Organization

Contact information

Practice address
813 CARNEY BLVD, MARINETTE, WI 54143-2623
(414) 238-8902
Mailing address
11220 W BURLEIGH ST STE 100, MILWAUKEE, WI 53222-3213
(414) 238-8902

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
07/08/2024
Last updated
07/08/2024
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