Individual
BYRON J MARQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2165 WHITE BEAR AVE N, MAPLEWOOD, MN 55109
(651) 523-9800
Mailing address
8170 33RD AVE S # MS 21110Q, MINNEAPOLIS, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
55116
MN
Other
Enumeration date
03/20/2006
Last updated
09/02/2020
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