Provider Demographics
NPI:1881682839
Name:LINDQUIST, CARL MARTIN (DO)
Entity Type:Individual
Prefix:DR
First Name:CARL
Middle Name:MARTIN
Last Name:LINDQUIST
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7050 AIR DEPOT BLVD
Mailing Address - Street 2:
Mailing Address - City:TINKER AFB
Mailing Address - State:OK
Mailing Address - Zip Code:73145-8716
Mailing Address - Country:US
Mailing Address - Phone:405-582-6805
Mailing Address - Fax:405-734-3404
Practice Address - Street 1:72 AMDS/SGPO
Practice Address - Street 2:8941 ENTRANCE RD A BLD 3334
Practice Address - City:TINKER AFB
Practice Address - State:OK
Practice Address - Zip Code:73145-3065
Practice Address - Country:US
Practice Address - Phone:405-582-6805
Practice Address - Fax:405-734-3404
Is Sole Proprietor?:No
Enumeration Date:2005-10-12
Last Update Date:2018-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-62761207RI0200X
IL036-062761207RI0200X
OK5303207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease