Individual
JEFFREY SCOTT QUINTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1155 N MAYFAIR RD, PAIN MANAGEMENT CLINIC, MILWAUKEE, WI 53226-3462
(414) 955-7600
(414) 955-6020
Mailing address
10000 W INNOVATION DR, SUITE 300, MILWAUKEE, WI 53226-4837
(414) 456-5006
(414) 456-6259
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
52396
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992885297
—
WI
Enumeration date
10/17/2006
Last updated
06/22/2011
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