Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
261QP2300X |
| NPI # | 1164906608 |
| LBN Legal business name | QUAD/MED, LLC |
| Authorized official | ROBERT POULSEN - (CFO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 09/20/2018 |
| Last updated | 07/14/2025 - About 11 months ago |
| Identifiers | n/a |
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