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
432 E. WASHINGTON ST. #1115, WEST BEND, WI 53095
(844) 827-1814
Mailing address
N64W23110 MAIN STREET, SUSSEX, WI 53089
(414) 566-8400
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/05/2017
Last updated
02/10/2021
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