Individual
STEPHEN PATRICK MCQUILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5410 MARYLAND WAY STE 400, BRENTWOOD, TN 37027-8087
(651) 461-2255
Mailing address
5410 MARYLAND WAY STE 400, BRENTWOOD, TN 37027-8087
(651) 461-2255
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0102208604
VA
207R00000X
Internal Medicine Physician
1019995
MA
207R00000X
Internal Medicine Physician
295205
NY
207R00000X
Internal Medicine Physician
77564
CT
207R00000X
Internal Medicine Physician
92576
SC
207R00000X
Internal Medicine Physician
Primary
OS023528
PA
207R00000X
Internal Medicine Physician
OS20926
FL
Other
Enumeration date
04/17/2017
Last updated
08/29/2024
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