Mr. Michael Russell
Mr. Michael Russell is a Non-emergency Medical Transport (VAN) in Milwaukee, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.
- Licensed in
- WI
- In the registry since
- 2007
Practice location Address checks out
4588 N 23rd StMilwaukee, WI 53209-6201
Phone: (414) 477-4978
Fax: (414) 445-1515
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Specialties & licences
| Non-emergency Medical Transport (VAN) (primary) | Taxonomy 343900000X · Licence 41487100 (WI) |
|---|
Record details
| NPI number | 1245414093 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 27, 2007 |
| Last updated in NPPES | December 27, 2007 |
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