MEDICARE: DR. MARGARET A MCQUISTON

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
1	207R00000X	Internal Medicine Physician	5101012342	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487652004
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARGARET A MCQUISTON

Provider Business Mailing Address
First Line	:	29159 HELMAN BLVD
Second Line	:
City	:	BROWNSTOWN
State	:	MI
Zip	:	48183-7003
Country	:	US
Telephone Number	:	734-671-5100
Fax Number	:	734-671-7664

Provider Business Practice Location Address
First Line	:	29159 HELMAN BLVD
Second Line	:
City	:	BROWNSTOWN
State	:	MI
Zip	:	48183-7003
Country	:	US
Telephone Number	:	734-671-5100
Fax Number	:	734-671-7664

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2005
Last Update Date	:	04/28/2009

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