Individual
MR. MICHAEL PAUL QUIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1049 CROSS GATE RD, WINSTON SALEM, NC 27106-6324
(336) 408-4851
(336) 408-4851
Mailing address
1049 CROSS GATE RD, WINSTON SALEM, NC 27106-6324
(336) 408-4851
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2134
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046PE
BCBS NC
NC
01
—
477021
HUMANA GOLD CHOICE
NC
05
—
6000641
—
NC
Enumeration date
08/22/2005
Last updated
12/04/2008
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