Quickmd Medical Group PA
Internal Medicine in Milwaukee, WI. Organization (NPI-2).
NPI number1114647641
StatusActive
Last updated in NPPESJan 15, 2024
Details
- NPI
- 1114647641
- Entity type
- Organization (NPI-2)
- Legal business name
- Quickmd Medical Group PA
- Organization subpart
- No
- Enumeration date
- Sep 2, 2022
- Certification date
- Jan 15, 2024
- Last updated
- Jan 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
| 208D00000X | General Practice | – | – | |
| 103TA0400X | Psychologist, Addiction (Substance Use Disorder) | – | – | |
| 2084A0401X | Psychiatry & Neurology, Addiction Medicine | – | – |
Practice location
1904 E Lafayette PlMilwaukee, WI 53202-1368
Phone 888-878-4256
Mailing address
3865 Holcomb Bridge RdPeachtree Corners, GA 30092-2205
Phone 888-878-5726
Authorized official
Katrina Merritt
Senior Manager, Credentialing
8135965726
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