# TIMO M QUICKERT MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Premier Vein & Pain Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336493048
- **Authorized official:** TIMO MATTHIAS QUICKERT MD (OWNER)
- **Authorized official phone:** (970) 672-6984

## Contact information

- **Practice address:** 4848 THOMPSON PKWY, SUITE 300, JOHNSTOWN, CO 80534-6433
- **Practice address phone:** (970) 800-4145
- **Mailing address:** 3438 TALIESIN WAY, FORT COLLINS, CO 80524-9375
- **Mailing address phone:** (970) 672-4705

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/02/2012
- **Last updated:** 12/22/2014