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Individual

SHAWN MARQUARDT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
28 SOUTH TOMAHAWK AVE, TOMAHAWK, WI 54487-1223
(715) 224-2200
Mailing address
28 SOUTH TOMAHAWK AVE, TOMAHAWK, WI 54487-1223
(715) 224-2200

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary

Other

Enumeration date
04/23/2008
Last updated
06/17/2008
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