Individual
EMMANUEL ADETONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4232 W 124TH ST, SAVAGE, MN 55378-1404
(608) 712-8164
Mailing address
4232 W 124TH ST, SAVAGE, MN 55378-1404
(608) 712-8164
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
383559
MN
Other
Enumeration date
01/22/2020
Last updated
01/23/2020
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