Healthcare Provider Details

I. General information

NPI: 1306762174
Provider Name (Legal Business Name): NORD MEDICAL TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6427 W GIRARD AVE
MILWAUKEE WI
53210-1310
US

IV. Provider business mailing address

6427 W GIRARD AVE
MILWAUKEE WI
53210-1310
US

V. Phone/Fax

Practice location:
  • Phone: 414-731-1607
  • Fax:
Mailing address:
  • Phone: 414-731-1607
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. MICHAEL NELSON NORD
Title or Position: OWNER
Credential: NA
Phone: 414-731-1607