Provider Demographics
NPI:1093999542
Name:MARK C. MCQUIGGAN, M.D.,P.C.
Entity Type:Organization
Organization Name:MARK C. MCQUIGGAN, M.D.,P.C.
Other - Org Name:HOUSE CALL DOCTORS, P.C.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:C
Authorized Official - Last Name:MCQUIGGAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:586-940-9860
Mailing Address - Street 1:7 N MAIN ST
Mailing Address - Street 2:SUITE # 207
Mailing Address - City:MOUNT CLEMENS
Mailing Address - State:MI
Mailing Address - Zip Code:48043-5644
Mailing Address - Country:US
Mailing Address - Phone:586-940-9860
Mailing Address - Fax:586-469-3434
Practice Address - Street 1:7 N MAIN ST
Practice Address - Street 2:SUITE # 207
Practice Address - City:MOUNT CLEMENS
Practice Address - State:MI
Practice Address - Zip Code:48043-5644
Practice Address - Country:US
Practice Address - Phone:586-940-9860
Practice Address - Fax:586-469-3434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-19
Last Update Date:2007-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI23279173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173000000XOther Service ProvidersLegal MedicineGroup - Multi-Specialty