Individual
R CHRISTOPHER MARQUARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
515 N 17TH AVE, WAUSAU, WI 54401-2910
(715) 848-1246
(715) 842-1660
Mailing address
515 N 17TH AVE, WAUSAU, WI 54401-2910
(715) 848-1246
(715) 842-1660
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2446
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38590600
—
WI
Enumeration date
02/02/2006
Last updated
09/17/2020
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