Quad/med, Llc | |
2105 Old Spanish Trl Gautier MS 39553-6000 | |
(414) 566-8000 | |
Not Available |
Full Name | Quad/med, Llc |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 2105 Old Spanish Trl, Gautier, Mississippi |
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 2105 Old Spanish Trl Gautier MS 39553-6000 Ph: (414) 566-8000 |
NPI Number | 1447649033 |
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Provider Enumeration Date | 01/20/2015 |
Last Update Date | 02/10/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447649033 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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