Individual
RICHARD J QUALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2977 COUNTY HWY CX, PORTAGE, WI 53901
(608) 742-3004
(608) 742-2399
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28576
WI
Other
Enumeration date
07/25/2006
Last updated
05/27/2009
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