Organization
QUAD/MED, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT L POULSEN (CFO)
(414) 566-8400
Entity
Organization
Contact information
Practice address
555 S 108TH ST, WEST ALLIS, WI 53214-1100
(414) 566-8210
Mailing address
W227N6103 SUSSEX RD, SUSSEX, WI 53089-3969
(414) 566-8400
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/07/2015
Last updated
07/14/2025
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