Individual
JUSTIN QUILOP GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8550 HUDSON BLVD N, LAKE ELMO, MN 55042-5500
(651) 254-8580
Mailing address
1000 E 24TH ST, KANSAS CITY, MO 64108-2776
(816) 512-7439
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
67127
MN
Other
Enumeration date
03/29/2018
Last updated
07/28/2023
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