Organization
DANIEL MARQUARDSEN THERAPY L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL W MARQUARDSEN LP (PSYCHOLOGIST)
(218) 670-0205
Entity
Organization
Contact information
Practice address
25282 HAZELWOOD DR, NISSWA, MN 56468-2797
(218) 670-0205
Mailing address
18083 490TH ST, MCGREGOR, MN 55760-4514
(218) 670-0205
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4659
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295749687
NPI-1 NUMBER
MN
01
—
2000362848
MA #
MN
Enumeration date
02/22/2014
Last updated
02/22/2014
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