Organization Name: | QUAD/MED |
NPI Number: | 1437529120 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TIMOTHY SCHUYLER (MANAGER OF OPERATIONS) |
Mailing Address: | W227 N6103 Sussex Rd Sussex |
State: | WI US |
Postal Code: | 53089 |
Phone Number: | 4145668018 |
Fax Number: | 4145668038 |
NPI Enumeration Date: | 10/07/2015 |
NPI Last Update Date: | 10/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Multi-Specialty |
Taxonomy Definition: |