Individual
SHAWN PATRICK QUINN
Active
Individual
SHAWN PATRICK QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4704307078
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704307078
MI
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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