Provider Demographics
NPI:1376939793
Name:WALKER, QUINTISHA MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:QUINTISHA
Middle Name:MARIE
Last Name:WALKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 779
Mailing Address - Street 2:
Mailing Address - City:TAWAS CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48764-0779
Mailing Address - Country:US
Mailing Address - Phone:989-790-3650
Mailing Address - Fax:989-790-8630
Practice Address - Street 1:5810 GRATIOT RD STE B
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48638-6063
Practice Address - Country:US
Practice Address - Phone:989-790-3650
Practice Address - Fax:989-790-8630
Is Sole Proprietor?:No
Enumeration Date:2015-04-13
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301500606207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine