NPI 1447649033

Quad/Med, LLC

Organisation Primary Care Clinic/Center Gautier, MS

Practice location

Address: 2105 Old Spanish Trl, Gautier, MS 39553-6000
Phone: (414) 566-8000
Mailing address: W227n6103 Sussex Rd, Sussex, WI 53089-3969

Authorised official

Name: Robert L Poulsen
Title: Cfo
Phone: (414) 566-8400

Registered specialties

Primary Care Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QP2300X

Other Clinic/Center providers in Mississippi →

Registry record

NPI: 1447649033
Entity type: Organization
NPI issued: 20 Jan 2015
Record last updated: 8 Jul 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.