Healthcare Provider Details

I. General information

NPI: 1174329205
Provider Name (Legal Business Name): MARC CHRISTOPHER FRISON
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/20/2025
Last Update Date: 02/20/2025
Certification Date: 02/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1705 SECTION RD
CINCINNATI OH
45237-3313
US

IV. Provider business mailing address

500 MADISON AVE STE 200
TOLEDO OH
43604-1230
US

V. Phone/Fax

Practice location:
  • Phone: 513-407-8984
  • Fax: 513-407-8959
Mailing address:
  • Phone: 567-312-8700
  • Fax: 567-312-8793

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: