NPI 1205465176

Tanya a Wilbert

Practitioner Transportation Broker Milwaukee, WI

Practice location

Address: 1915 W Fairmount Ave, Milwaukee, WI 53209
Phone: (414) 795-9731
Mailing address: PO Box 340324, Milwaukee, WI 53234-0324

Registered specialties

Transportation Broker Primary

Transportation Services Taxonomy 347E00000X Licence W4168017666106 (WI)

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Registry record

NPI: 1205465176
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Apr 2020
Record last updated: 3 Apr 2020

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.