DEREK QUELLA

RACINE, WI
NPI1821345455
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: WI  176284-30)
Enumeration Date2012-08-14
Last Update Date2013-05-15
Business Address
Mr. DEREK QUELLA RN
2000 DOMANIK DR
RACINE, WI 53404-2910
Phone number: 262-633-4800
Mailing Address
Mr. DEREK QUELLA RN
2000 DOMANIK DR
RACINE, WI 53404-2910
Phone number: 262-633-4800