Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 0101267159 | VA |
N | 207T00000X | Neurosurgeon | 35.093725 | OH |
N | 207T00000X | Neurosurgeon | AC2895437-T57 | OH |
N | 207T00000X | Neurosurgeon | MD448438 | PA |
NPI | 1114199791 |
---|---|
Provider Name | Dr. Nicholas Frank Marko |
First Address | Brentwood, TN 37027-4692 |
Second Address | Cincinnati, OH 45219-2364 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2008 |
Last Update Date | 04/01/2022 |