Individual
ALISA J. MARZEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 PROGRESSIVE DR, COLUMBUS GROVE, OH 45830
(419) 659-6010
(419) 659-6012
Mailing address
PO BOX 636930, CINCINNATI, OH 45263-6930
(513) 981-5123
(513) 981-5015
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.123364
OH
207Q00000X
Family Medicine Physician
45310
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100177560
—
KY
01
—
P01335359
RAILROAD MEDICARE
KY
Enumeration date
06/23/2010
Last updated
07/17/2025
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