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JUSTIN QUO M.D.

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1285947556

Individual Registrant:
 JUSTIN  QUO M.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
600 MAIN AVE S  BAUDETTE, MN 56623-2855 US
Tel: 218-634-1655  Fax: 218-634-1016

Contact information for business:
600 MAIN AVE S  BAUDETTE, MN 56623-2855 US
Tel: 218-634-1655  Fax: 218-634-1016

Registration Information:
NPI: 1285947556
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
MI4301097176
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
MN56409

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS MN - Page 1



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