Individual
DR. THOMAS ERIC QUISENBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
DEPT. OF INTERNAL MEDICINE, ACB, UNIVERSITY OF LOUISVIL, 530 SOUTH JACKSON ST, LOUISVILLE, KY 40202
(502) 852-7041
Mailing address
1412 WILLOW AVE APT 69, LOUISVILLE, KY 40204-1432
(502) 608-3713
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R-1064
KY
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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