Individual
SUSAN QUIGLEY
Active
Individual
SUSAN QUIGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD60570885
WA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT16025
ND
2081P0010X
Pediatric Rehabilitation Medicine Physician
01074112
IN
2081P0010X
Pediatric Rehabilitation Medicine Physician
MD60570885
WA
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
MD60570885
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201230330
—
IN
05
—
802719600
—
MN
Enumeration date
07/04/2006
Last updated
06/01/2023
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