Individual
JONATHAN P MARQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1218 W KILBOURN AVE, STE 124, MILWAUKEE, WI 53233-1330
(414) 291-2626
(414) 291-2630
Mailing address
1218 W KILBOURN AVE, STE 124, MILWAUKEE, WI 53233-1330
(414) 291-2626
(414) 291-2630
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
49178-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34879100
—
WI
Enumeration date
07/08/2006
Last updated
11/22/2021
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