MEDICARE: TROY D WILLIAMS TRANSPORT & MEDICAL

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
1	342000000X	Transportation Network Company

General Provider Information

NPI Number	:	1093521759
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TROY D WILLIAMS TRANSPORT & MEDICAL

Provider Business Mailing Address
First Line	:	3750 N 22ND ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53206-1839
Country	:	US
Telephone Number	:	414-309-5867
Fax Number	:	920-312-5843

Provider Business Practice Location Address
First Line	:	3750 N 22ND ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53206-1839
Country	:	US
Telephone Number	:	414-309-5867
Fax Number	:	920-312-5843

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/07/2024
Last Update Date	:	12/07/2024

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