Individual
TIMOTHY PATRICK QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2350 MIAMI VALLEY DR, SUITE 320, CENTERVILLE, OH 45459
(937) 433-5309
(937) 433-1340
Mailing address
6490 CENTERVILLE BUSINESS PKWY, CENTERVILLE, OH 45459
(937) 433-5309
(937) 433-1340
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35-04-1362-Q
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
349754
ANTHEM
OH
01
—
4013933
AETNA
OH
05
—
458955
—
OH
01
—
P00444052
MEDICARE ID
OH
Enumeration date
08/11/2006
Last updated
02/03/2011
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