Healthcare Provider Details

I. General information

NPI: 1093195844
Provider Name (Legal Business Name): THOMAS JAMES QUINN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2015
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 W CHISHOLM ST
ALPENA MI
49707
US

IV. Provider business mailing address

4000 WELLNESS DR
MIDLAND MI
48670-3849
US

V. Phone/Fax

Practice location:
  • Phone: 989-356-7353
  • Fax:
Mailing address:
  • Phone: 844-832-1956
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number4301107767
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number4301107767
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: