Individual
MICHAEL DENNIS QUINLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1210 W 18TH ST STE G01, SIOUX FALLS, SD 57104-4651
(605) 328-2663
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CP002499
SD
363L00000X
Nurse Practitioner
PENDING
IA
Other
Enumeration date
09/21/2020
Last updated
01/31/2023
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