RUSSELL GORDON MARQUARDT

HARLAN, IA
NPI1477551661
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: IA  888)
Enumeration Date2005-07-12
Last Update Date2007-12-04
Business Address
MR. RUSSELL GORDON MARQUARDT PA-C
1220 CHATBURN AVE
HARLAN, IA 51537-2009
Phone number: 712-755-5130
Mailing Address
MR. RUSSELL GORDON MARQUARDT PA-C
4022 MAIN ST
ELK HORN, IA 51531
Phone number: 712-764-4642
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