Organization
COMMUNITY TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACY L ROBERTS (OWREN)
(262) 770-7689
Entity
Organization
Contact information
Practice address
5429 N 106TH STREET, MILWAUKEE, WI 53225-3207
(262) 770-7689
Mailing address
5429 NORTH 106TH STREET, MILWUKEE, WI 53225-3207
(262) 770-7689
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
—
WI
Other
Enumeration date
08/05/2010
Last updated
07/21/2022
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