Individual
MARK QUINLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2255 S 132ND ST, OMAHA, NE 68144-2573
(402) 717-3390
(402) 717-3393
Mailing address
16945 FRANCES ST, STE 200, OMAHA, NE 68130-2312
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22844
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47083454608
—
NE
Enumeration date
01/23/2007
Last updated
04/10/2018
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