Individual
MICHAEL BRADLEY LILYQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10539 PROFESSIONAL CIR STE 201, RENO, NV 89521-3858
(775) 348-8800
(833) 687-1419
Mailing address
5310 KIETZKE LN STE 104, RENO, NV 89511-2043
(775) 348-8800
(833) 687-1419
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
16371
NV
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
16371
NV
Other
Enumeration date
04/07/2010
Last updated
10/15/2024
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