Individual
QUAN C AI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1715 DOUSMAN ST, GREEN BAY, WI 54303-3211
(920) 496-4700
Mailing address
1715 DOUSMAN ST, GREEN BAY, WI 54303-3211
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
45551
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34414300
—
WI
Enumeration date
11/02/2005
Last updated
05/17/2010
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