Provider Demographics
NPI:1356961262
Name:NEUMANN, WAYNE
Entity type:Individual
Prefix:
First Name:WAYNE
Middle Name:
Last Name:NEUMANN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:N60W18237 LOST POND DR
Mailing Address - Street 2:
Mailing Address - City:MENOMONEE FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:53051-5567
Mailing Address - Country:US
Mailing Address - Phone:414-803-2184
Mailing Address - Fax:
Practice Address - Street 1:N60W18237 LOST POND DR
Practice Address - Street 2:
Practice Address - City:MENOMONEE FALLS
Practice Address - State:WI
Practice Address - Zip Code:53051-5567
Practice Address - Country:US
Practice Address - Phone:414-803-2184
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-21
Last Update Date:2020-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WIADN-7050347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle