Alan Douglas Quam | Alexandria, MN • PECOS Search

Alan Douglas Quam

Dentist

Dental Providers

1301 Hawthorne St, Alexandria, MN 56308-2555

PECOS Enrollment

Based on the most recent information from CMS, provider Alan Douglas Quam does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1467553107
Provider Type
Individual
Full Name
Quam, Alan Douglas
Title
Dr.
Credential
DDS

Gender
Male
Sole Proprietor
Yes
Enumeration Date
9/26/2006
Last Updated
7/8/2007

Contact Information

Practice Location

1301 Hawthorne St, Alexandria, MN 56308-2555

Unlisted Fax

Mailing Location

1301 Hawthorne St, Alexandria, MN 56308-2555

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1223G0001X Primary	Description Dentist Dental Providers	License 8275 Minnesota