Individual
DR. JAMES P QUENAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
265 GRIFFIN ST E, AMERY, WI 54001-1439
(715) 268-8000
(715) 268-0308
Mailing address
265 GRIFFIN ST E, AMERY, WI 54001-1439
(715) 268-8000
(715) 268-0311
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
21309
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1016661
PREFERRED ONE
—
05
—
30106800
—
WI
01
—
402G4QU
BCBS MN
—
01
—
P00251914
PALMETTO GBA RR MEDICARE
—
Enumeration date
02/07/2006
Last updated
12/21/2007
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