Individual provider · NPI-1

Dr. Quinn M. Bosworth, DO

Family Medicine · Okemos, MI

NPI number1063440592
StatusActive
Last updated in NPPESMar 30, 2015

Details

NPI
1063440592
Entity type
Individual (NPI-1)
Name
Dr. Quinn M. Bosworth
Credential
DO
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 30, 2006
Last updated
Mar 30, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine5101014014MIYes

Practice location

1881 W Grand River Ave
Okemos, MI 48864-1840

Phone 517-339-2100 · Fax 517-339-4620

Mailing address

1881 W Grand River Ave
Okemos, MI 48864-1840

Phone 517-339-2100 · Fax 517-339-4620

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