Healthcare Provider Details

I. General information

NPI: 1003462516
Provider Name (Legal Business Name): QUAD HEALTH SOLUTIONS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2019
Last Update Date: 08/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 N WAYNE RD
WESTLAND MI
48185-3628
US

IV. Provider business mailing address

32000 NORTHWESTERN HWY STE 240
FARMINGTON HILLS MI
48334-1569
US

V. Phone/Fax

Practice location:
  • Phone: 734-522-7000
  • Fax:
Mailing address:
  • Phone: 248-536-0786
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: LORI SCHULTZ
Title or Position: GROUP DIRECTOR
Credential:
Phone: 248-536-0786