Mcquistan, Ian Mark

Mcquistan, Ian Mark is an individual health care provider with primary practice located at 2925 Chicago Ave , Minneapolis MN 55407-1321. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Mcquistan, Ian Mark can be contacted via phone (612) 262-1166.

Contact Information

Primary practice address
2925 Chicago Ave Minneapolis MN 55407-1321
Phone: (612) 262-1166
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 53952 Minnesota
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 3938 Iowa

Profile Details

NPI number 1295934255
LBN Legal business name Mcquistan, Ian Mark
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2007
Last updated Dec 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295934255 NPPES
Iowa MEDICAID 1295934255

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