Individual
MICHAEL TIMOTHY QUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10967 E US HIGHWAY 36, AVON, IN 46123-7980
(317) 272-0700
Mailing address
4465 S COUNTY ROAD 125 E, GREENCASTLE, IN 46135-9237
(765) 719-1479
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12013873A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
06/01/2022
Last updated
07/19/2022
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