MARK QUENNEVILLE

LANSING, MI
NPI1609117878
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy222Z00000X Orthotist
Additional Taxonomies224L00000X Pedorthist
Enumeration Date2013-03-12
Last Update Date2013-03-12
Business Address
MARK QUENNEVILLE CO, CPED
4424 S PENNSYLVANIA AVE
LANSING, MI 48910-7625
Phone number: 517-394-5850
Mailing Address
MARK QUENNEVILLE CO, CPED
4424 S PENNSYLVANIA AVE
LANSING, MI 48910-7625
Phone number: 517-394-5850
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