Individual
MRS. MICHELLE ANN QUANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
13705 W GREEN MEADOW DR, NEW BERLIN, WI 53151-3135
(262) 617-5318
Mailing address
4217 S PACKARD AVE, ST FRANCIS, WI 53235-5543
(414) 481-3640
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
97876030
WI
Other
Enumeration date
06/21/2006
Last updated
07/08/2007
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