Individual
MRS. SHANNON COLLEEN QUINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6200 WHIPPLE AVE NW, NORTH CANTON, OH 44720-7624
(330) 966-8602
(330) 966-8999
Mailing address
6200 WHIPPLE AVE NW, NORTH CANTON, OH 44720-7624
(330) 966-8602
(330) 966-8999
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.003361
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012-4443
—
OH
Enumeration date
10/29/2011
Last updated
04/05/2019
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