Healthcare Provider Details

I. General information

NPI: 1770496937
Provider Name (Legal Business Name): URIDE WISCONSIN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1231 MENOMONIE ST STE G
EAU CLAIRE WI
54703-6336
US

IV. Provider business mailing address

1231 MENOMONIE ST STE G
EAU CLAIRE WI
54703-6336
US

V. Phone/Fax

Practice location:
  • Phone: 651-404-5736
  • Fax:
Mailing address:
  • Phone: 651-404-5736
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number StateNULL

VIII. Authorized Official

Name: ASAD DIRIE
Title or Position: DIRECTOR
Credential:
Phone: 651-404-5736