MEDICARE: CHRIS MARQUART M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	35045020	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316957517
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRIS MARQUART M.D.

Provider Business Mailing Address
First Line	:	348 TOWNSEND AVE
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44319-3562
Country	:	US
Telephone Number	:	330-354-7467
Fax Number	:	330-354-7467

Provider Business Practice Location Address
First Line	:	1450 FIRESTONE PKWY STE F
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44301-1655
Country	:	US
Telephone Number	:	330-724-3345
Fax Number	:	330-724-5299

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2006
Last Update Date	:	11/13/2009

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Directions to “ CHRIS MARQUART M.D.” Practice Location

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