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Individual

MR. BRENT DUANE MARQUARDT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, CCC-SLP

Contact information

Practice address
5976 W MONTEVISTA DR, FORT GRATIOT, MI 48059-2703
(810) 385-8310
(810) 385-8310
Mailing address
5976 W MONTEVISTA DR, FORT GRATIOT, MI 48059-2703
(810) 385-8310
(810) 385-8310

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12032986
MI

Other

Enumeration date
05/19/2007
Last updated
07/08/2007
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