Quad/med, Llc | |
N11896 Hwy 175 Lomira WI 53048 | |
(920) 269-5000 | |
(920) 269-5704 |
Full Name | Quad/med, Llc |
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Speciality | Clinic/center - Multi-specialty |
Location | N11896 Hwy 175, Lomira, 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 N11896 Hwy 175 Lomira WI 53048 Ph: (920) 269-5000 |
NPI Number | 1962872655 |
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Provider Enumeration Date | 10/07/2015 |
Last Update Date | 02/10/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962872655 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |