Provider Demographics
NPI:1093521759
Name:WILLIAMS, TROY D (TRANSPORT & MEDICAL)
Entity type:Individual
Prefix:
First Name:TROY
Middle Name:D
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:TRANSPORT & MEDICAL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3750 N 22ND ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53206-1839
Mailing Address - Country:US
Mailing Address - Phone:414-309-5867
Mailing Address - Fax:920-312-5843
Practice Address - Street 1:3750 N 22ND ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53206-1839
Practice Address - Country:US
Practice Address - Phone:414-309-5867
Practice Address - Fax:920-312-5843
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-07
Last Update Date:2024-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company