Provider Demographics
NPI:1841081775
Name:QUARKER, ROSHELL GRACE (PA)
Entity type:Individual
Prefix:
First Name:ROSHELL
Middle Name:GRACE
Last Name:QUARKER
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28180 ROLLCREST RD
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-4018
Mailing Address - Country:US
Mailing Address - Phone:248-462-8640
Mailing Address - Fax:
Practice Address - Street 1:21311 CIVIC CENTER DR
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48076-3900
Practice Address - Country:US
Practice Address - Phone:800-225-5588
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program