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Individual

MARCIE A GROESBECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
50 N MILLER RD, FAIRLAWN, OH 44333-3702
(330) 836-9721
(330) 836-9627
Mailing address
50 N MILLER RD, FAIRLAWN, OH 44333-3702
(330) 836-9721
(330) 836-9627

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35048761
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000140418
ANTHEM
OH
05
0535031
OH
01
80132213
RAILROAD MEDICARE
OH
Enumeration date
08/02/2006
Last updated
03/24/2008
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