Individual
MICHAEL LEE QUINLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 MEDICAL PARK DR, MEXICO, MO 65265-3724
(573) 581-8500
(573) 581-5397
Mailing address
600 MEDICAL PARK DR, MEXICO, MO 65265-3724
(573) 581-8500
(573) 581-5397
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2001014673
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205682008
—
MO
Enumeration date
05/24/2005
Last updated
12/15/2020
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