Organization
WISCONSIN TRANSPORT SYSTEMS LLC
Active
Other names
Wisconsin Transport Systems LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLEN MADLOCK JR. (OWNER)
(414) 795-7960
Entity
Organization
Contact information
Practice address
4329 N 74TH ST, MILWAUKEE, WI 53216-1052
(414) 795-7960
Mailing address
4329 N 74TH ST, MILWAUKEE, WI 53216-1052
(414) 795-7960
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
54527
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100024724
—
WI
Enumeration date
08/19/2013
Last updated
08/30/2013
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