Individual
BENJAMIN LOWELL QUIMBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14647 540TH ST, WEST CONCORD, MN 55985-3600
(507) 527-8887
Mailing address
14647 540TH ST, WEST CONCORD, MN 55985-3600
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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