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Individual

DR. JAMES P QUENAN

Active
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Individual

DR. JAMES P QUENAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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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