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Individual
NICHOLAS RUSSELL QUAM
Active
Individual
NICHOLAS RUSSELL QUAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
71131
TN
207V00000X
Obstetrics & Gynecology Physician
Primary
82402
MN
207V00000X
Obstetrics & Gynecology Physician
MD61411043
WA
207VG0400X
Gynecology Physician
71131
TN
207VG0400X
Gynecology Physician
82402
MN
207VG0400X
Gynecology Physician
MD61411043
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2254766
—
WA
Enumeration date
04/12/2019
Last updated
08/27/2026
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