Individual
DR. THERESA M QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
N79W14684 APPLETON AVE, MENOMONEE FALLS, WI 53051-4308
(262) 229-4060
(262) 229-4062
Mailing address
N79W14684 APPLETON AVE, MENOMONEE FALLS, WI 53051-4308
(262) 229-4060
(262) 229-4062
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
45074
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001856578Z
HUMANA
—
05
—
1821040528
—
WI
05
—
34355300
—
WI
Enumeration date
05/17/2006
Last updated
03/19/2021
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