Quandt-Walle, Craig

Quandt-Walle, Craig is an individual health care provider with primary practice located at 1818 N Meade St , Appleton WI 54911-3454. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Quandt-Walle, Craig can be contacted via phone (800) 968-6866.

Contact Information

Primary practice address
1818 N Meade St Appleton WI 54911-3454
Phone: (800) 968-6866
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1346023 Wisconsin

Profile Details

NPI number 1831199439
LBN Legal business name Quandt-Walle, Craig
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2005
Last updated Aug 1st, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831199439 NPPES
Wisconsin MEDICAID 41930500
Wisconsin Other 970028908

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