Provider Demographics
NPI:1023030665
Name:QUAMME, STEVEN J (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:J
Last Name:QUAMME
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1233 34TH ST NW
Mailing Address - Street 2:
Mailing Address - City:BEMIDJI
Mailing Address - State:MN
Mailing Address - Zip Code:56601-5112
Mailing Address - Country:US
Mailing Address - Phone:218-333-5180
Mailing Address - Fax:218-333-5360
Practice Address - Street 1:1233 34TH ST NW
Practice Address - Street 2:
Practice Address - City:BEMIDJI
Practice Address - State:MN
Practice Address - Zip Code:56601-5112
Practice Address - Country:US
Practice Address - Phone:218-333-5180
Practice Address - Fax:218-333-5360
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2022-03-25
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Provider Licenses
StateLicense IDTaxonomies
MN32907207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
D28669Medicare UPIN