Individual
KENNETH DAVID QUAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407
(612) 863-4000
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 863-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
63956
MN
Other
Enumeration date
03/30/2013
Last updated
03/15/2021
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