NPI 1013799782

Midwest Medical Transportation, LLC.

Organisation Private Vehicle Walled Lake, MI

Practice location

Address: 995 N. Pontiac Trail, Walled Lake, MI 48390-3323
Phone: (248) 278-2477
Mailing address: 995 N. Pontiac Trail P.O. Box # 57, Walled Lake, MI 48390-3323

Authorised official

Name: Jeanine Rashonda Jackson
Title: Owner/Operator
Phone: (248) 278-2477

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X

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Registry record

NPI: 1013799782
Entity type: Organization
NPI issued: 18 Oct 2023
Record last updated: 19 Oct 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.