Individual provider · NPI-1

Austin Chronister

Emergency Medical Technician, Paramedic · Milwaukee, WI

NPI number1497374516
StatusActive
Last updated in NPPESJul 6, 2022

Details

NPI
1497374516
Entity type
Individual (NPI-1)
Name
Austin Chronister
Sex
Male
Sole proprietor
No
Enumeration date
Apr 9, 2020
Certification date
Jul 6, 2022
Last updated
Jul 6, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
146L00000X Emergency Medical Technician, Paramedic70113442WIYes
1710I1003X Military Health Care Provider, Independent Duty Medical Technicians––

Practice location

2423 W Lisbon Ave
Milwaukee, WI 53205-1401

Phone 414-933-7600

Mailing address

2423 W Lisbon Ave
Milwaukee, WI 53205-1401

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