Provider Demographics
NPI:1528032935
Name:MARSICK, CHRISTINE N (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:N
Last Name:MARSICK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7450 MARKELL RD
Mailing Address - Street 2:
Mailing Address - City:WAITE HILL
Mailing Address - State:OH
Mailing Address - Zip Code:44094-9399
Mailing Address - Country:US
Mailing Address - Phone:216-288-6401
Mailing Address - Fax:
Practice Address - Street 1:7450 MARKELL RD
Practice Address - Street 2:
Practice Address - City:WAITE HILL
Practice Address - State:OH
Practice Address - Zip Code:44094-9399
Practice Address - Country:US
Practice Address - Phone:216-288-6401
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-14
Last Update Date:2019-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH350820812086H0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086H0002XAllopathic & Osteopathic PhysiciansSurgeryHospice and Palliative Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000331955OtherANTHEM
OH2440353Medicaid
OH2440353Medicaid
OH000000331955OtherANTHEM