Individual
MR. ANTWAIN LARRY BARFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5256 N 61ST ST, MILWAUKEE, WI 53218-3101
(414) 303-1655
Mailing address
5256 N 61ST ST, MILWAUKEE, WI 53218-3101
(414) 303-1655
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
B6140129126300
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
46-0962089
—
WI
Enumeration date
09/13/2021
Last updated
09/13/2021
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