| Stewart W Quisling, Md Inc | |
|
3340 Tully Rd Suite D-2 Modesto CA 95350 | |
| (209) 523-5195 | |
| Not Available |
| Full Name | Stewart W Quisling, Md Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 3340 Tully Rd, Modesto, California |
| Authorized Official Name and Position | Stewart Quisling (CEO) |
| Authorized Official Contact | 2095235195 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stewart W Quisling, Md Inc 220 Standiford Ave Suite F Modesto CA 95350 Ph: (209) 579-5628 | Stewart W Quisling, Md Inc 3340 Tully Rd Suite D-2 Modesto CA 95350 Ph: (209) 523-5195 |
| NPI Number | 1912090622 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 07/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912090622 | NPI | - | NPPES |
| 183864900 | Other | CA | DEPT OF LABOR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | C323000 (California) | Primary |
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