Organization
MCGOWAN TRANSPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENRY CLAY MCGOWAN III (PRESIDENT)
(414) 459-3319
Entity
Organization
Contact information
Practice address
4429 W FOND DU LAC AVE, MILWAUKEE, WI 53216-3444
(414) 459-3319
(414) 444-4810
Mailing address
4429 W FOND DU LAC AVE, MILWAUKEE, WI 53216-3444
(414) 459-3319
(414) 444-4810
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
E802BBBTKL
WI
Other
Enumeration date
02/18/2013
Last updated
02/18/2013
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