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Individual

DR. THOMAS GERALD QUICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3208 W LAKE ST # 113, MINNEAPOLIS, MN 55416-4512
(612) 388-2402
Mailing address
3208 W LAKE ST # 113, MINNEAPOLIS, MN 55416-4512
(612) 388-2402

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G47555
MN

Other

Enumeration date
11/04/2009
Last updated
11/04/2009
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