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Organization
STEWART W QUISLING, MD INC
Active
Organization
STEWART W QUISLING, MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEWART QUISLING M.D. (CEO)
(209) 523-5195
Entity
Organization
Contact information
Practice address
3340 TULLY RD, SUITE D-2, MODESTO, CA 95350
(209) 523-5195
Mailing address
220 STANDIFORD AVE, SUITE F, MODESTO, CA 95350
(209) 579-5628
(209) 579-5637
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
C323000
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
183864900
DEPT OF LABOR
CA
Enumeration date
10/02/2006
Last updated
07/24/2009
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