Individual
GLENDALE ROBERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5861 N 39TH ST, MILWAUKEE, WI 53209-3913
(414) 808-4569
Mailing address
5861 N 39TH ST, MILWAUKEE, WI 53209-3913
(414) 808-4569
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/21/2022
Last updated
04/21/2022
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