| Organization Name: | QUADMED LLC |
| NPI Number: | 1528449410 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KENECHI ANULIGO (PHYSICIAN) |
| Mailing Address: | 10208 Park Plz Suite A Rothschild |
| State: | WI US |
| Postal Code: | 544747948 |
| Phone Number: | 8443421748 |
| Fax Number: | 2623755606 |
| NPI Enumeration Date: | 06/16/2015 |
| NPI Last Update Date: | 06/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 53995-20 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |