Individual
MICHAEL TIMOTHY QUINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
110 AKERS FARM RD, CHRISTIANSBURG, VA 24073-4863
(540) 382-9405
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0102203981
VA
207RG0100X
Gastroenterology Physician
Primary
0102203981
VA
390200000X
Student in an Organized Health Care Education/Training Program
A63006405
VA
Other
Enumeration date
03/21/2013
Last updated
12/21/2023
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