NPI 1063595593

Marc Alan Hultquist, DO

Practitioner Pediatrics Physician Madison, AL

Practice location

Address: 12205 County Line Rd STE C, Madison, AL 35758-7720
Phone: (256) 258-8319
Fax: (256) 489-4070

Registered specialties (3)

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 3042 (AL)

Other Pediatrics providers in Alabama →

Pediatrics Physician

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 3331 (IA)

Developmental - Behavioral Pediatrics Physician

Allopathic & Osteopathic Physicians Taxonomy 2080P0006X Licence 3042 (AL)

Registry record

NPI: 1063595593
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Oct 2006
Record last updated: 26 Feb 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.