Provider Demographics
NPI:1124020359
Name:MARCUS, DANIEL F (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:F
Last Name:MARCUS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2109 HUGHES DR
Mailing Address - Street 2:FL E
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606-5141
Mailing Address - Country:US
Mailing Address - Phone:419-479-6181
Mailing Address - Fax:419-479-2664
Practice Address - Street 1:2109 HUGHES DR
Practice Address - Street 2:FL E
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-5141
Practice Address - Country:US
Practice Address - Phone:419-479-6181
Practice Address - Fax:419-479-2664
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-01
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35037099207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0247085Medicaid
OH0900234Medicaid
OH9253951Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER
OH0900234Medicaid
OHC01134Medicare UPIN