| Organization Name: | QUADMED LOMIRA |
| NPI Number: | 1962872655 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TIMOTHY SCHUYLER (OPERATIONS MANAGER) |
| Mailing Address: | N11896 Hwy 175 Lomira |
| State: | WI US |
| Postal Code: | 53048 |
| Phone Number: | 9202695000 |
| Fax Number: | 9202695704 |
| 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: | |