Individual
MARK ALAN QUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
16419 NORTHCROSS DR, SUITE A, HUNTERSVILLE, NC 28078-5004
(704) 987-9585
(704) 987-9589
Mailing address
16419 NORTHCROSS DR, SUITE A, HUNTERSVILLE, NC 28078-5004
(704) 987-9585
(704) 987-9589
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
424
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890801X
—
NC
Enumeration date
12/04/2006
Last updated
01/15/2009
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