Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 497-025 | WI |
N | 222Z00000X | Podiatrist | 497-025 | WI |
Y | 213ES0103X | Foot & Ankle Surgery | 497-025 | WI |
NPI | 1043298029 |
---|---|
Provider Name | Dr. William Brian Quinn |
First Address | Stevens Point, WI 54481-1360 |
Second Address | Stevens Point, WI 54481-1360 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/01/2006 |
Last Update Date | 09/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
13812 | SECURITY HEALTH (01) | WI |
27895 | NETWORK HEALTH INS (01) | WI |
43204800 | (05) | WI |
T63050 | (02) | WI |