Organization
FAMILY CARE MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES P QUARTANA (CEO)
(715) 732-2075
Entity
Organization
Contact information
Practice address
3123 SHORE DR, SUITE 202, MARINETTE, WI 54143-4287
(715) 732-4120
(715) 732-4430
Mailing address
3123 SHORE DR, SUITE 202, MARINETTE, WI 54143-4287
(715) 732-4120
(715) 732-4430
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43060500
—
WI
Enumeration date
05/13/2008
Last updated
05/13/2008
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