Quad/med, Llc | |
215 Corporate Dr Ste A Beaver Dam WI 53916-3124 | |
(414) 566-4000 | |
Not Available |
Full Name | Quad/med, Llc |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 215 Corporate Dr Ste A, Beaver Dam, Wisconsin |
Authorized Official Name and Position | Robert L Poulsen (CFO) |
Authorized Official Contact | 4145668400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Quad/med, Llc N64w23110 Main St Sussex WI 53089-3230 Ph: (414) 566-8400 | Quad/med, Llc 215 Corporate Dr Ste A Beaver Dam WI 53916-3124 Ph: (414) 566-4000 |
NPI Number | 1508682410 |
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Provider Enumeration Date | 11/25/2024 |
Last Update Date | 11/25/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508682410 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Ayaz Samandani Md Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 Corporate Dr, Suite H, Beaver Dam, WI 53916 Phone: 920-887-7731 Fax: 920-887-3201 | |
Ayaz M. Samadani, Md, Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 Corporate Dr, Suite H, Beaver Dam, WI 53916 Phone: 920-887-7731 | |
Victor W. Caceres, M.d.,s.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 919 S. University Avenue, Beaver Dam, WI 53916 Phone: 920-885-9238 Fax: 920-885-4405 |