CHARLES MARQUARDT MD NPI 1477180115

NPI Information

  • NPI: 1477180115
  • Provider Name: CHARLES MARQUARDT, MD
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4040 COON RAPIDS BLVD NW STE 120
    COON RAPIDS, MN
    ZIP 55433
  • Phone: (763) 427-9980

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NPI Details

Charles Marquardt, MD is a vascular surgery surgery in Coon Rapids, MN. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Charles Marquardt, MD NPI is 1477180115. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4040 COON RAPIDS BLVD NW STE 120
COON RAPIDS, MN
ZIP 55433-568
Phone: (763) 427-9980
Fax: (763) 427-0904

The NPI 1477180115 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/24/2020 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0129XSurgeryVascular Surgery80797MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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