Marquart, Michael

Marquart, Michael is an individual health care provider with primary practice located at 2323 N Lake Dr , Milwaukee WI 53211-4508. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Marquart, Michael can be contacted via phone (414) 291-1149.

Contact Information

Primary practice address
2323 N Lake Dr Milwaukee WI 53211-4508
Phone: (414) 291-1149
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 42691 Wisconsin
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 42691 Wisconsin
Other Service Providers / Specialist 174400000X 42691 Wisconsin

Profile Details

NPI number 1467436998
LBN Legal business name Marquart, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated Dec 2nd, 2021 - about 3 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 1467436998 NPPES
Wisconsin MEDICAID 34637300

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