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NPI Code Detail

MEDICARE: JONATHON PAUL QUINLAN DO

MEDICARE: JONATHON PAUL QUINLAN DO
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
1207X00000XOrthopaedic Surgery Physician5151018013MI

General Provider Information

NPI Number : 1629908082
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONATHON PAUL QUINLAN DO
Provider Business Mailing Address
First Line : 1347 BUSH CREEK DR
Second Line :
City : GRAND BLANC
State : MI
Zip : 48439-1618
Country : US
Telephone Number : 419-574-8802
Fax Number :
Provider Business Practice Location Address
First Line : 1 GENESYS PKWY
Second Line :
City : GRAND BLANC
State : MI
Zip : 48439-8065
Country : US
Telephone Number : 810-606-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2026
Last Update Date : 05/19/2026

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