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NPI Code Detail

MEDICARE: RHONDA LIAKITA WITHERSPOON

MEDICARE:   RHONDA LIAKITA WITHERSPOON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1343900000XNon-emergency Medical Transport (VAN)WI

General Provider Information

NPI Number : 1023941408
Entity Type Code : Individual
Provider Name (Legal Business Name) : RHONDA LIAKITA WITHERSPOON
Provider Business Mailing Address
First Line : 2538 W MEDFORD AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53206-1025
Country : US
Telephone Number : 414-293-7880
Fax Number :
Provider Business Practice Location Address
First Line : 2538 W MEDFORD AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53206-1025
Country : US
Telephone Number : 414-293-7880
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2026
Last Update Date : 06/05/2026

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Directions to “ RHONDA LIAKITA WITHERSPOON ” Practice Location

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