Individual
TIMO M QUICKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4848 THOMPSON PKWY, SUITE 300, JOHNSTOWN, CO 80534-6433
(970) 800-4145
Mailing address
4848 THOMPSON PKWY, SUITE 300, JOHNSTOWN, CO 80534-6433
(970) 800-4145
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
45587
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51579014
—
CO
Enumeration date
09/30/2005
Last updated
12/18/2018
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