Individual provider · Type 1 NPI

Russell Gordon Marquardt Sr., PA-C

Medical Physician Assistant · Harlan, IA

NPI number 1477551661 Active

About NPI 1477551661

Russell Gordon Marquardt Sr., PA-C's National Provider Identifier is 1477551661, issued on Jul 12, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Harlan, IA. The record was last updated on Dec 4, 2007.