Individual
JAMES MICHAEL MARQUARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3585 LEXINGTON AVENUE NORTH, SUITE 350, SHOREVIEW, MN 55126-8056
(651) 484-3942
(651) 787-0519
Mailing address
3585 LEXINGTON AVENUE NORTH, SUITE 350, SHOREVIEW, MN 55126-8056
(651) 251-5280
(651) 251-5282
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
29772
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08280700
—
MN
Enumeration date
10/17/2006
Last updated
07/08/2007
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