Individual
DR. JORDAN QUILICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
295 MAPLE ST STE 202, TAWAS CITY, MI 48763-9352
(989) 362-6108
(989) 362-0161
Mailing address
PO BOX 779, TAWAS CITY, MI 48764-0779
(989) 362-6108
(989) 362-0161
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101019048
MI
Other
Enumeration date
07/01/2011
Last updated
04/06/2021
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