Individual
TERRELL MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4629 W SCRANTON PL, MILWAUKEE, WI 53216-2920
(414) 758-1261
Mailing address
4629 W SCRANTON PL, MILWAUKEE, WI 53216-2920
(414) 758-1261
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
02/18/2018
Last updated
02/18/2018
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