Individual
PAUL EDWARD QUINLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
463 WEST CIRCLE DRIVE, EAST LANSING, MI 48824-1037
(517) 884-6546
(517) 432-9460
Mailing address
804 SERVICE RD # A201, EAST LANSING, MI 48824-7015
(517) 884-2976
(517) 432-3928
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
5101011011
MI
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
5101011011
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376527721
—
MI
Enumeration date
11/30/2005
Last updated
05/10/2017
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