Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 36-003148 | OH |
NPI | 1063401032 |
---|---|
Provider Name | Marc D Dolce |
First Address | Sandusky, OH 44871-0378 |
Second Address | Norwalk, OH 44857-3106 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/10/2005 |
Last Update Date | 02/04/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000195923 | ANTHEM BC BS (01) | OH |
2201987 | (05) | OH |
341952775026 | CARESOURCE (01) | OH |
370061 | WELLCARE (01) | OH |
480033730 | RAILROAD MEDICARE (01) | OH |
7259247 | AETNA (01) | OH |
U82286 | (02) | OH |