Individual
MISS JERROD DARNELL QUARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
420 DELAWARE ST SE, 14-100 PHILLIPS WANGENSTEEN BLDG MMC 284, MINNEAPOLIS, MN 55455-0341
(612) 624-8199
Mailing address
720 W LAKE ST APT 206, MINNEAPOLIS, MN 55408-3374
(757) 636-2882
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22119
MN
Other
Enumeration date
11/14/2009
Last updated
11/14/2009
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