Organization
J E QUARTERS DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK E QUARTERS D.O. (DOCTOR)
(989) 753-0681
Entity
Organization
Contact information
Practice address
1438 SCHUST RD, SAGINAW, MI 48604-1030
(989) 753-0681
(989) 753-9587
Mailing address
1438 SCHUST RD, SAGINAW, MI 48604-1030
(989) 753-0681
(989) 753-9587
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
JQ004394
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012285
—
MI
Enumeration date
11/25/2009
Last updated
12/02/2009
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