MEDICARE: DR. CHRISTINE N MARSICK MD

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	2086H0002X	Hospice and Palliative Medicine (Surgery) Physician	35082081	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000331955	OTHER	OH	ANTHEM
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528032935
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTINE N MARSICK MD

Provider Business Mailing Address
First Line	:	7450 MARKELL RD
Second Line	:
City	:	WAITE HILL
State	:	OH
Zip	:	44094-9399
Country	:	US
Telephone Number	:	216-288-6401
Fax Number	:

Provider Business Practice Location Address
First Line	:	7450 MARKELL RD
Second Line	:
City	:	WAITE HILL
State	:	OH
Zip	:	44094-9399
Country	:	US
Telephone Number	:	216-288-6401
Fax Number	:

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

Provider Enumeration Date	:	02/14/2006
Last Update Date	:	02/06/2019

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