NPI 1073363834

Robert Agnew, EMT

Practitioner Basic Emergency Medical Technician Milwaukee, WI

Practice location

Address: 3440 N 54th St, Milwaukee, WI 53216-2802
Phone: (305) 607-5623
Mailing address: 2828 N 12th St, Milwaukee, WI 53206-2615

Registered specialties

Basic Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146N00000X Licence 70117917 (WI)

Other Emergency Medical Technician, Basic providers in Wisconsin →

Registry record

NPI: 1073363834
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Mar 2024
Record last updated: 25 Mar 2024

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.