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DR. NIKOLO C QUINONES MD

Physicians Internal Medicine

Provider NPI: 1750498077

Provider Information:
DR. NIKOLO C QUINONES MD
Gender: M
Not Sole Proprietor

Practice Location:
1300 SOUTH DRIVE  WINNEBAGO, WI 54985-0009 US
Tel: 920-235-4910  Fax: 920-237-2043

Business Mailing Address:
PO BOX 9  WINNEBAGO, WI 54985-0009 US
Tel: 920-235-4910  Fax: 920-237-2043

NPI Information:
NPI: 1750498077
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207R00000XPhysicians
Internal Medicine
WI39923
N283Q00000XHospitals
Psychiatric Hospital
WI39923

Other Provider Identifiers:

IssuerNumberStateType
MEDICARE PTAN450030793WI01
32449800WI05
DEA NUMBERBQ592486301
MEDICARE PTAN711290189WI01



American Medical Association 2012 taxonomy code information

Code: 207R00000X

Type:

Classification:



Definition:



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