Individual
DR. TIMOTHY ALAN QUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
24021 US 33 EAST, ELKHART, IN 46517
(574) 875-8698
(574) 875-8749
Mailing address
24021 US 33 EAST, ELKHART, IN 46517
(574) 875-8698
(574) 875-8749
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
07000924A
IN
213ES0131X
Foot Surgery Podiatrist
07000924A
IN
Other
Enumeration date
05/24/2005
Last updated
06/14/2016
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