Individual
DR. GARY E QUINBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
036102180
IL
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
036102180
IL
207NS0135X
Procedural Dermatology Physician
036102180
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036102180
—
IL
01
—
070014612
RR MEDICARE
IL
Enumeration date
01/27/2006
Last updated
06/11/2008
Update your record
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