Individual
MARQUES CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8018 W CAPITOL DR # 105, MILWAUKEE, WI 53222-1906
(414) 491-6962
(414) 488-1411
Mailing address
8018 W CAPITOL DR STE 105, MILWAUKEE, WI 53222-1906
(414) 491-6962
(414) 488-1411
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/17/2019
Last updated
04/16/2021
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