| Daniel Marquardsen Therapy L.l.c | |
|
25282 Hazelwood Dr Nisswa MN 56468-2797 | |
| (218) 670-0205 | |
| Not Available |
| Full Name | Daniel Marquardsen Therapy L.l.c |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 25282 Hazelwood Dr, Nisswa, Minnesota |
| Authorized Official Name and Position | Daniel W Marquardsen (PSYCHOLOGIST) |
| Authorized Official Contact | 2186700205 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Marquardsen Therapy L.l.c 18083 490th St Mcgregor MN 55760-4514 Ph: (218) 670-0205 | Daniel Marquardsen Therapy L.l.c 25282 Hazelwood Dr Nisswa MN 56468-2797 Ph: (218) 670-0205 |
| NPI Number | 1427473826 |
|---|---|
| Provider Enumeration Date | 02/22/2014 |
| Last Update Date | 02/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427473826 | NPI | - | NPPES |
| 1295749687 | Other | MN | NPI-1 NUMBER |
| 2000362848 | Other | MN | MA # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 4659 (Minnesota) | Primary |
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