Individual
JARED MARQUARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 E ROSSER AVE, BISMARCK, ND 58501-4461
(701) 751-9500
Mailing address
701 E ROSSER AVE, BISMARCK, ND 58501-4457
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
70309
MN
207Q00000X
Family Medicine Physician
RL13250
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12083
—
ND
Enumeration date
06/02/2014
Last updated
03/30/2022
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