Individual
SHAWN PATRICK QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
18101 OAKWOOD BLVD, DEARBORN, MI 48124-4089
(313) 593-7000
Mailing address
48137 PICADILLY CT, CANTON, MI 48187-5481
(734) 664-6559
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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