Individual
JACK QUIGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
1450 S LAPEER RD, OXFORD, MI 48371-6108
(248) 969-9932
Mailing address
1450 S LAPEER RD, OXFORD, MI 48371-6108
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704287529
MN
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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