Individual
FELIX K QUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11115 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
(260) 672-4000
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301094019
MI
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
01070279A
IN
2080N0001X
Neonatal-Perinatal Medicine Physician
4301094019
MI
2080N0001X
Neonatal-Perinatal Medicine Physician
44874
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000790818
ANTHEM - KCNS
KY
01
—
142081
SIHO - KCNS
KY
05
—
201138540
—
IN
01
—
50044088
PASSPORT - KCNS
KY
05
—
7100220240
—
KY
Enumeration date
04/01/2009
Last updated
12/19/2022
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