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