Benjamin Lowell Quimby

NPI 1013124965 - Physician Assistant - 363AS0400X

NPI Details
NPI 1013124965
Gender Male
Enumeration Date 05/17/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
14647 540TH ST
WEST CONCORD MN, 55985-3600, US
Phone (507) 527-8887
Fax
Business Location
14647 540TH ST
WEST CONCORD MN, 55985-3600, US
Phone
Fax
Toxanomy
Taxonomy Code 363AS0400X
License State
License Number
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According to our database, Benjamin Lowell Quimby NPI is 1013124965, taxonomy code is 363AS0400X Benjamin Lowell Quimby physically located at 14647 540th St, West Concord MN, 55985-3600. NPI Number Benjamin Lowell Quimby has the Individual type.

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1013124965 NPI number is provided on an as is basis without warranty of any kind. 1013124965 is maintained by the National Plan & Provider Enumeration System. The contents of Benjamin Lowell Quimby are for informational purposes only.