Individual
JOSEPH URBAN QUADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1204 CLOQUET AVE, CLOQUET, MN 55720-1622
(218) 878-0805
(218) 878-0794
Mailing address
507 N BLACKMAN AVE, DULUTH, MN 55811-5239
(218) 341-1205
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6080
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006R1QU
BLUE CROSS BLUE SHIELD
MN
05
—
561258600
—
MN
Enumeration date
06/05/2006
Last updated
03/25/2021
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