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NPI Code Detail

MEDICARE: QUENTIN JOHN DURWARD MD

MEDICARE: QUENTIN JOHN DURWARD MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207T00000XNeurological Surgery Physician2820SD
2207T00000XNeurological Surgery Physician25079IA
3207T00000XNeurological Surgery Physician18422NE

General Provider Information

NPI Number : 1457354383
Entity Type Code : Individual
Provider Name (Legal Business Name) : QUENTIN JOHN DURWARD MD
Provider Business Mailing Address
First Line : 575 N SIOUX POINT RD
Second Line :
City : DAKOTA DUNES
State : SD
Zip : 57049-5312
Country : US
Telephone Number : 605-217-2667
Fax Number : 605-217-2900
Provider Business Practice Location Address
First Line : 575 N SIOUX POINT RD
Second Line :
City : DAKOTA DUNES
State : SD
Zip : 57049-5312
Country : US
Telephone Number : 605-217-2667
Fax Number : 605-217-2900
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 01/14/2014

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Directions to “ QUENTIN JOHN DURWARD MD” Practice Location

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