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Organization

PDQ MEDICAL TRANSIT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PAUL WILLIAM PERNSTEINER (CEO)
(715) 748-2262
Entity
Organization

Contact information

Practice address
880 S GIBSON ST, MEDFORD, WI 54451-1681
(715) 748-2262
(715) 748-2262
Mailing address
880 S GIBSON ST, MEDFORD, WI 54451-1681
(715) 748-2262
(715) 748-2262

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100001725
WI
Enumeration date
02/13/2009
Last updated
02/13/2009
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