Individual
DR. ERICH J QUIDZINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4070 EQUESTRIAN RD, NEW FRANKEN, WI 54229-9649
(920) 866-6100
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(920) 866-6100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37581-21
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30069300
—
WI
Enumeration date
08/12/2006
Last updated
10/09/2023
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