James Michael Marquardt in Shoreview - Adolescent Medicine

James Michael Marquardt - NPI 1114007705

James Michael Marquardt is a Adolescent Medicine in Shoreview, Minnesota. James Michael Marquardt practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for James Michael Marquardt is 1114007705. The last update date is 2007-07-08.

James Michael Marquardt's current location address is 3585 Lexington Avenue North, Shoreview, Minnesota. You can contact this provider via phone number 6514843942 and fax number 6517870519. The mailing address for James Michael Marquardt is 3585 Lexington Avenue North, Shoreview, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name James Michael Marquardt
Address 3585 Lexington Avenue North, Shoreview, Minnesota
Phone Number 6514843942
Fax Number 6517870519
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1114007705
Provider Enumeration Date 2006-10-17
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3585 Lexington Avenue North
City Shoreview
State Minnesota (MN)
Post Code 551268056
Phone Number 6514843942
Fax Number 6517870519

Provider's Primary Taxonomy Detail

Speciality Adolescent Medicine
Taxonomy 2080A0000X
Licence No 29772
Definition:
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8280700 MN --

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FAQs about James Michael Marquardt

What is the unique 10-digit identification code issued to James Michael Marquardt by the Centers for Medicare & Medicaid Services?

The James Michael Marquardt has been assigned the NPI (National Provider Identifier) 1114007705 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where James Michael Marquardt is physically located?

The James Michael Marquardt is physically situated at the following address: 3585 Lexington Avenue North, Shoreview, MN, 551268056.

What is James Michael Marquardt's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for James Michael Marquardt is Adolescent Medicine, and the taxonomy code that classifies this field of practice is 2080A0000X.

When did James Michael Marquardt receive its 1114007705 assignment?

The James Michael Marquardt was assigned its 1114007705 on 2006-10-17, which is the date when this unique identifier was issued to the organization.

When was the James Michael Marquardt's information last updated?

The James Michael Marquardt's information was last updated on 2007-07-08.

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