| Quad/med, Llc | |
|
10452 Hazelton Etna Rd Sw Etna OH 43062-3400 | |
| (866) 639-3659 | |
| Not Available |
| Full Name | Quad/med, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 10452 Hazelton Etna Rd Sw, Etna, Ohio |
| 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 |
|---|---|
| Quad/med, Llc N64w23110 Main St Sussex WI 53089-3230 Ph: (414) 566-8400 | Quad/med, Llc 10452 Hazelton Etna Rd Sw Etna OH 43062-3400 Ph: (866) 639-3659 |
| NPI Number | 1356930135 |
|---|---|
| Provider Enumeration Date | 01/15/2021 |
| Last Update Date | 02/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356930135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |