Most Relevant Information
Provider Data
| NPI Number: | 1003336850 |
| Provider Name: | CARLY ROSE QUINN DO |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | 5101025641 |
Most Important Dates
| Enumeration Date: | 06/22/2017 |
| Last Updated: | 10/03/2023 |
Provider Practice Location
3185 MACATAWA DR SW STE A
GRANDVILLE
MI
494183184
Practice Location Phone/Fax
| Phone: | 6163914500 |
| Fax: |
Provider Mailing Location
100 MICHIGAN ST NE # MC-845
GRAND RAPIDS
MI
495032560
Provider Mailing Phone/Fax
| Phone: | 6164866790 |
| Fax: | 6164986702 |
Suggested EMR
Family Practice EMR