Marquardt, James Michael

Marquardt, James Michael is an individual health care provider with primary practice located at 3585 Lexington Avenue North Suite 350, Shoreview MN 55126-8056. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Marquardt, James Michael can be contacted via phone (651) 484-3942.

Contact Information

Primary practice address
3585 Lexington Avenue North Suite 350 Shoreview MN 55126-8056
Phone: (651) 484-3942
Fax: (651) 787-0519
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 29772 Minnesota

Profile Details

NPI number 1114007705
LBN Legal business name Marquardt, James Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114007705 NPPES
Minnesota MEDICAID 08280700

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