Med Group Transportation LLC

NPI #1184866253 in Mequon, Wisconsin

Provider Information

NPI Number
1184866253
Entity Type
Organization
Organization Name
Med Group Transportation LLC
Primary Specialty
Non-emergency Medical Transport (VAN)
Enumeration Date
Apr 3, 2009
Last Updated
Apr 3, 2009

Practice Location

Address
11412 N PORT WASHINGTON RD STE 215
City
Mequon
ZIP Code
53092-3450
Phone
(414) 755-0500

Authorized Official

Name
MRS. DARIKO MEKVABISHVILI
Title
PRESIDENT
Phone
(414) 755-0500

Specialties & Taxonomy Codes

Specialty
Non-emergency Medical Transport (VAN)

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