Individual
TIMOTHY FRANCIS QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1300 OAK STREET, FAULKTON, SD 57438-0100
(605) 598-6262
Mailing address
PO BOX 100, 1300 OAK STREET, FAULKTON, SD 57438-0100
(605) 598-6262
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0488
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6823802
—
SD
Enumeration date
01/23/2006
Last updated
11/11/2020
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