Dr. Carly Rose Quinn
Family Doctor
2750 E Beltline Ave Ne
Grand Rapids
, Michigan 49525-8614
Dr. Carly Rose Quinn
Family Doctor
2750 E Beltline Ave Ne
Grand Rapids
, Michigan 49525-8614
(616) 498-6702
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Dr. Carly Rose Quinn
- 100 Michigan St Ne # Mc-845
- Grand Rapids, MI
- Zip : 49503-2560
- Fax : (616) 498-6702
- Phone : (616) 486-6790
Second Address
- Dr. Carly Rose Quinn
- 2750 E Beltline Ave Ne
- Grand Rapids, MI
- Zip : 49525-8614
- Fax : (616) 267-7818
- Phone : (616) 267-7015
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 5101025641 | MI |
National Provider Identifier
| NPI | 1003336850 |
|---|---|
| Provider Name | Dr. Carly Rose Quinn |
| First Address | Grand Rapids, MI 49503-2560 |
| Second Address | Grand Rapids, MI 49525-8614 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/06/2017 |
| Last Update Date | 19/02/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.