Provider Demographics
NPI:1801186564
Name:LINDSTROM, QUINN DON (DPM)
Entity Type:Individual
Prefix:
First Name:QUINN
Middle Name:DON
Last Name:LINDSTROM
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1995 ERRECART BLVD
Mailing Address - Street 2:200
Mailing Address - City:ELKO
Mailing Address - State:NV
Mailing Address - Zip Code:89801-8346
Mailing Address - Country:US
Mailing Address - Phone:775-738-1100
Mailing Address - Fax:
Practice Address - Street 1:231 ALBERT SABIN WAY
Practice Address - Street 2:ML 0558
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45267-2827
Practice Address - Country:US
Practice Address - Phone:801-391-5708
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-14
Last Update Date:2016-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV2001213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery