Individual
DR. MARK A. QUIRING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 EAST BLVD, ELKHART, IN 46514-2483
(574) 523-3160
Mailing address
PO BOX 1241, SOUTH BEND, IN 46624-1241
(885) 691-9888
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01065065
IN
207P00000X
Emergency Medicine Physician
MD432579
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000561448
ANTHEM
IN
05
—
200903410
—
IN
Enumeration date
10/31/2007
Last updated
04/05/2016
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