Individual
DR. MICHAEL PAUL MARQUARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
813 N WASHINGTON AVE, ROSWELL, NM 88201-3941
(575) 622-2606
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-4997
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
H0601
TX
208000000X
Pediatrics Physician
Primary
MD2014-0474
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
57809763
—
NM
Enumeration date
03/29/2006
Last updated
05/04/2022
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