Organization
NEWTRAX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE GREENBAUM (EXECUTIVE DIRECTOR)
(651) 846-9301
Entity
Organization
Contact information
Practice address
3700 HIGHWAY 61 N, WHITE BEAR LAKE, MN 55110-4132
(651) 846-9301
Mailing address
3700 HIGHWAY 61 N, WHITE BEAR LAKE, MN 55110-4132
(651) 846-9301
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
376801
MN
347B00000X
Bus
376801
MN
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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