Provider Demographics
NPI:1760900823
Name:QUIRING, ADAM CLAYTON (FNP)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:CLAYTON
Last Name:QUIRING
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 COLLEGE AVE SE APT 9
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49503-4456
Mailing Address - Country:US
Mailing Address - Phone:269-547-0591
Mailing Address - Fax:
Practice Address - Street 1:6210 W. MAIN ST
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49009
Practice Address - Country:US
Practice Address - Phone:269-286-7030
Practice Address - Fax:269-286-7031
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-08
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4704289704363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner