Individual
DR. MARC ALAN HULTQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
12205 COUNTY LINE RD STE C, MADISON, AL 35758-7720
(256) 258-8319
(256) 489-4070
Mailing address
12205 COUNTY LINE RD STE C, MADISON, AL 35758-7720
(256) 258-8319
(256) 489-4070
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
3042
AL
208000000X
Pediatrics Physician
3331
IA
2080P0006X
Developmental - Behavioral Pediatrics Physician
3042
AL
Other
Enumeration date
10/20/2006
Last updated
02/26/2024
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