Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mark Quenneville, CO, CPED

Individual provider Orthotist · NPI 1609117878

Mark Quenneville, CO, CPED is an Orthotist in Lansing, Michigan. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
2
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Practice location Address checks out

4424 S Pennsylvania Ave
Lansing, MI 48910-7625
Phone: (517) 394-5850
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthotist (primary) Taxonomy 222Z00000X
Pedorthist Taxonomy 224L00000X

Record details

NPI number1609117878
Entity typeIndividual (Type 1)
GenderMale
Credentials CO , CPED
Sole proprietorNo
NPI enumeratedMarch 12, 2013
Last updated in NPPESMarch 12, 2013

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