Marc Wahlquist in Cincinnati - Sports Medicine
Marc Wahlquist - NPI 1417039801
Marc Wahlquist is a Sports Medicine in Cincinnati, Ohio. Marc Wahlquist practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Marc Wahlquist is 1417039801. The last update date is 2021-09-07.
Marc Wahlquist's current location address is 6480 Harrison Ave Ste 201, Cincinnati, Ohio. You can contact this provider via phone number 5133543700 and fax number 5136991435. The mailing address for Marc Wahlquist is 6480 Harrison Ave Ste 201, Cincinnati, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marc Wahlquist |
|---|---|
| Address | 6480 Harrison Ave Ste 201, Cincinnati, Ohio |
| Phone Number | 5133543700 |
| Fax Number | 5136991435 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1417039801 |
|---|---|
| Provider Enumeration Date | 2006-10-19 |
| Last Updated Date | 2021-09-07 |
Provider Mailing Address Detail
| Address | 6480 Harrison Ave Ste 201 |
|---|---|
| City | Cincinnati |
| State | Ohio (OH) |
| Post Code | 452477961 |
| Phone Number | 5133543700 |
| Fax Number | 5136991435 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | 35084068 |
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Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2595071 | OH | -- |
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What is the Marc Wahlquist's unique identification number?
The Marc Wahlquist has been assigned the NPI (National Provider Identifier) Number 1417039801 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Marc Wahlquist's physical address?
The Marc Wahlquist is physically located at 6480 Harrison Ave Ste 201, in the city of Cincinnati, OH, with the postal code 452477961.
What is the Marc Wahlquist's specialty and taxonomy code?
The Marc Wahlquist's specialty is Sports Medicine, and the corresponding taxonomy code is 207Xx0005X.
On what date did the Marc Wahlquist receive the assignment of its 1417039801 from the Centers for Medicare & Medicaid Services?
The Marc Wahlquist was issued its 1417039801 by the Centers for Medicare & Medicaid Services on 2006-10-19.
As of what date were the Marc Wahlquist's details last updated?
The information pertaining to the Marc Wahlquist, including its address, specialty, and other details, was most recently updated on 2021-09-07.
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