Individual
ROBERT AGNEW JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EMT
Contact information
Practice address
3440 N 54TH ST, MILWAUKEE, WI 53216-2802
(305) 607-5623
Mailing address
2828 N 12TH ST, MILWAUKEE, WI 53206-2615
(305) 607-5623
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
70117917
WI
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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