Organization
QUAD/MED, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT L POULSEN JR. (CHIEF FINANCIAL OFFICER)
(414) 566-8400
Entity
Organization
Contact information
Practice address
615 PENNSYLVANIA AVE, SHEBOYGAN, WI 53081-4663
(414) 566-8400
Mailing address
W227N6103 SUSSEX RD, SUSSEX, WI 53089-3969
(414) 566-8400
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/24/2025
Last updated
11/24/2025
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