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Individual

DR. POLLY ANN QUIRAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
7760 FRANCE AVE S, SUITE 310, MINNEAPOLIS, MN 55435-5800
(952) 929-1131
(952) 897-1178
Mailing address
7760 FRANCE AVE S, SUITE 310, MINNEAPOLIS, MN 55435-5800
(952) 929-1131
(952) 897-1178

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301085965
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4740432
MI
Enumeration date
07/02/2006
Last updated
07/11/2007
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