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:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 5449
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48603-0449
Mailing Address - Country:US
Mailing Address - Phone:989-233-5738
Mailing Address - Fax:989-256-0570
Practice Address - Street 1:PO BOX 5449
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48603-0449
Practice Address - Country:US
Practice Address - Phone:989-233-5738
Practice Address - Fax:989-256-0570
Is Sole Proprietor?:No
Enumeration Date:2015-04-13
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301500606202D00000X, 207QA0401X, 2083B0002X, 2084P0800X, 207Q00000X
VA0101275168207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No202D00000XAllopathic & Osteopathic PhysiciansIntegrative Medicine
No207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine
No2083B0002XAllopathic & Osteopathic PhysiciansPreventive MedicineObesity Medicine
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry