Provider Demographics
NPI:1659398170
Name:CHERNESKY, MARIANNE ELIZABETH (MD)
Entity Type:Individual
Prefix:
First Name:MARIANNE
Middle Name:ELIZABETH
Last Name:CHERNESKY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:424 WARDS CORNER RD STE 200
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:45140-6966
Mailing Address - Country:US
Mailing Address - Phone:513-576-7700
Mailing Address - Fax:513-576-1020
Practice Address - Street 1:1231 COLUMBUS AVE UNIT A1
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:OH
Practice Address - Zip Code:45036-8196
Practice Address - Country:US
Practice Address - Phone:513-695-4495
Practice Address - Fax:513-228-1236
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35.088289207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2676948Medicaid