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Individual

NICOLAS QUINTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
N84W16889 MENOMONEE AVE, MENOMONEE FALLS, WI 53051-2810
(262) 251-7500
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7904-23
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100291943
WI
Enumeration date
08/12/2024
Last updated
01/13/2025
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