| Quad/med, Llc | |
|
555 S 108th St West Allis WI 53214-1100 | |
| (414) 566-6400 | |
| (414) 566-3866 |
| Full Name | Quad/med, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 555 S 108th St, West Allis, 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 |
|---|---|
| Quad/med, Llc N64w23110 Main Street Sussex WI 53089 Ph: (414) 566-8400 | Quad/med, Llc 555 S 108th St West Allis WI 53214-1100 Ph: (414) 566-6400 |
| NPI Number | 1790855047 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 02/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790855047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Quad/med, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 555 S 108th St, West Allis, WI 53214 Phone: 414-566-8210 | |
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