Quad/med, Llc | |
1900 S 18th Ave West Bend WI 53095-8796 | |
(262) 338-1427 | |
Not Available |
Full Name | Quad/med, Llc |
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Speciality | Clinic/center - Primary Care |
Location | 1900 S 18th Ave, West Bend, 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 Street Sussex WI 53089 Ph: (414) 566-8400 | Quad/med, Llc 1900 S 18th Ave West Bend WI 53095-8796 Ph: (262) 338-1427 |
NPI Number | 1134509599 |
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Provider Enumeration Date | 06/01/2015 |
Last Update Date | 02/10/2021 |
Identifier | Type | State | Issuer |
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1134509599 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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