Organization
AV TRANSPORTATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANZHELIKA VINOKUR (PRESIDENT)
(414) 967-7999
Entity
Organization
Contact information
Practice address
4958 N SANTA MONICA BLVD, MILWAUKEE, WI 53217-5911
(414) 967-7999
Mailing address
4958 N SANTA MONICA BLVD, MILWAUKEE, WI 53217-5911
(414) 967-7999
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100006357
—
WI
Enumeration date
03/14/2011
Last updated
03/16/2011
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