Dr. Sean A Marzolf
Dermatologist MOHS-Micrographic Surgeon
550 N University Blvd
Indianapolis
, Indiana 46202-5149
Dr. Sean A Marzolf
Dermatologist MOHS-Micrographic Surgeon
550 N University Blvd
Indianapolis
, Indiana 46202-5149
(317) 962-4343
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About
Features
Specialties
- Dermatologist
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Sean A Marzolf
- 250 N Shadeland Ave Ste 130
- Indianapolis, IN
- Zip : 46219-4959
- Fax : (317) 962-4343
- Phone : (317) 944-7744
Second Address
- Dr. Sean A Marzolf
- 550 N University Blvd
- Indianapolis, IN
- Zip : 46202-5149
- Phone : (317) 944-7744
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 01078453A | IN |
| N | 207N00000X | Dermatologist | Q8749 | TX |
| N | 207ND0101X | MOHS-Micrographic Surgeon | 01078453A | IN |
| N | 207ND0101X | MOHS-Micrographic Surgeon | Q8749 | TX |
National Provider Identifier
| NPI | 1033472915 |
|---|---|
| Provider Name | Dr. Sean A Marzolf |
| First Address | Indianapolis, IN 46219-4959 |
| Second Address | Indianapolis, IN 46202-5149 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/06/2012 |
| Last Update Date | 18/07/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.