NPI 1083575401

Quad/Med, LLC

Organisation Primary Care Clinic/Center Sheboygan, WI

Practice location

Address: 615 Pennsylvania Ave, Sheboygan, WI 53081-4663
Phone: (414) 566-8400
Mailing address: W227n6103 Sussex Rd, Sussex, WI 53089-3969

Authorised official

Name: Robert L Poulsen
Title: Chief Financial Officer
Phone: (414) 566-8400

Registered specialties

Primary Care Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QP2300X

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Registry record

NPI: 1083575401
Entity type: Organization
NPI issued: 24 Nov 2025
Record last updated: 24 Nov 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.