Individual provider · Type 1 NPI

Jason ST Martin

Driver · Milwaukee, WI

NPI number 1548447147 Active

Practice location

1000 N 92nd St
Milwaukee, WI 53226-3533

Fax (414) 529-1663

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XS3564367026208 (WI)

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1548447147

Jason ST Martin's National Provider Identifier is 1548447147, issued on Jan 25, 2008. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Milwaukee, WI. The record was last updated on Jan 25, 2008.