Individual
DR. JOHN LEON MARQUARDT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
466 S TRIMBLE RD, MANSFIELD, OH 44906-3416
(419) 756-8000
(419) 756-7100
Mailing address
466 S TRIMBLE RD, MANSFIELD, OH 44906-3416
(419) 756-8000
(419) 756-7100
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35035303
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000128144
ANTHEM BC/BS
OH
05
—
0269892
—
OH
01
—
0800182
UNITED HEALTHCARE
OH
01
—
341171920001
CIGNA
OH
01
—
4277845
AETNA
OH
Enumeration date
06/06/2006
Last updated
07/08/2007
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