James Michael Marquardt, MD
Pediatrics, Adolescent Medicine in Shoreview, MN. Individual provider (NPI-1).
NPI number1114007705
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1114007705
- Entity type
- Individual (NPI-1)
- Name
- James Michael Marquardt
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 17, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080A0000X | Pediatrics, Adolescent Medicine | 29772 | MN | Yes |
Practice location
3585 Lexington Avenue NorthSuite 350
Shoreview, MN 55126-8056
Phone 651-484-3942 · Fax 651-787-0519
Mailing address
3585 Lexington Avenue NorthSuite 350
Shoreview, MN 55126-8056
Phone 651-251-5280 · Fax 651-251-5282
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