person
Craig Quandt-walle, PA
Medical Physician Assistant in Appleton, Wisconsin
NPI 1831199439

Craig Quandt-walle is a Medical Physician Assistant based in Milwaukee, WI and is specialized in Medical. Craig Quandt-walle practices in Appleton, WI and has the professional credentials of PA. The NPI Number for Craig Quandt-walle is 1831199439 and holds a License No. 1346023 (Wisconsin).

The current practice location address for Craig Quandt-walle is 1818 N Meade St, Appleton, WI and can be reached out via phone at 800-968-6866.

Location: 1818 N Meade St, Appleton, WI, 53288-0001
person
Provider Profile Details
NPI Number
1831199439
Provider Name
Craig Quandt-walle
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1818 N Meade St, Appleton, WI, 53288-0001
Phone Number
800-968-6866
Fax Number
Provider Enumeration Date
07/26/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
41930500 05 WI
970028908 01 WI RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1818 N Meade St
City
State
Zip
54911-3454
Phone Number
800-968-6866
Fax Number
person
Provider Business Mailing Address Details
Address
1818 N Meade St
City
State
Zip
54911-3454
Phone Number
800-968-6866
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
1346023 (Wisconsin)
Definition
Definition to come...
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