MEDICARE: DR. ROBERT F MARSCHKE JR. 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	207RH0003X	Hematology & Oncology Physician	31487	AZ
2	207RH0003X	Hematology & Oncology Physician	35397	CO
3	207RH0003X	Hematology & Oncology Physician	6089A	WY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	110030404	OTHER	AZ	RAILROAD MEDICARE

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
2	86080015085259A046	OTHER	AZ	TRIWEST

General Provider Information

NPI Number	:	1669455754
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT F MARSCHKE JR. M.D.

Provider Business Mailing Address
First Line	:	2315 E HARMONY RD
Second Line	:	#110
City	:	FORT COLLINS
State	:	CO
Zip	:	80528-8620
Country	:	US
Telephone Number	:	970-212-7600
Fax Number	:	970-212-7637

Provider Business Practice Location Address
First Line	:	2315 E HARMONY RD
Second Line	:	#110
City	:	FORT COLLINS
State	:	CO
Zip	:	80528-8620
Country	:	US
Telephone Number	:	970-212-7600
Fax Number	:	970-212-7637

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

Provider Enumeration Date	:	11/22/2005
Last Update Date	:	02/10/2012

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Directions to “ DR. ROBERT F MARSCHKE JR. M.D.” Practice Location

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