Healthcare Provider Details

I. General information

NPI: 1063401032
Provider Name (Legal Business Name): MARC D DOLCE DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/20/2005
Last Update Date: 04/02/2020
Certification Date: 04/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

368 MILAN AVE SUITE A
NORWALK OH
44857-3106
US

IV. Provider business mailing address

PO BOX 378
SANDUSKY OH
44871-0378
US

V. Phone/Fax

Practice location:
  • Phone: 419-660-0099
  • Fax: 419-660-0098
Mailing address:
  • Phone: 419-626-6161
  • Fax: 419-502-3511

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number36-003148
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: