Individual
BRADLEY J MARZEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
770 W HIGH ST, SUITE 160B, LIMA, OH 45801-3990
(419) 996-5224
(419) 996-5276
Mailing address
PO BOX 636930, CINCINNATI, OH 45263-0001
(513) 981-5123
(513) 981-5015
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA.13388
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0066053
—
OH
Enumeration date
06/06/2012
Last updated
04/15/2016
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