Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 62510-20 | WI |
Y | 208600000X | Surgeon | 62510-20 | WI |
NPI | 1013167675 |
---|---|
Provider Name | Karina Laura Paulius Quinn |
First Address | Janesville, WI 53548-2940 |
Second Address | Janesville, WI 53548-2940 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/09/2008 |
Last Update Date | 27/01/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1013167675 | (05) | WI |
1013167675 | BCBSWI (01) | WI |
PAULIKAR | MERCYCARE INSURANCE (01) | WI |