Individual
DAVE QUILLIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
324 MEADOWS DR, GRAYLING, MI 49738-2015
(800) 252-2065
Mailing address
324 MEADOWS DR, GRAYLING, MI 49738-2015
(800) 252-2065
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
6801082748
MI
Other
Enumeration date
01/30/2019
Last updated
01/30/2019
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