Provider Demographics
NPI:1063401032
Name:DOLCE, MARC D (DPM)
Entity type:Individual
Prefix:
First Name:MARC
Middle Name:D
Last Name:DOLCE
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 378
Mailing Address - Street 2:
Mailing Address - City:SANDUSKY
Mailing Address - State:OH
Mailing Address - Zip Code:44871-0378
Mailing Address - Country:US
Mailing Address - Phone:419-626-6161
Mailing Address - Fax:419-502-3511
Practice Address - Street 1:368 MILAN AVE
Practice Address - Street 2:SUITE A
Practice Address - City:NORWALK
Practice Address - State:OH
Practice Address - Zip Code:44857-3106
Practice Address - Country:US
Practice Address - Phone:419-660-0099
Practice Address - Fax:419-660-0098
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-20
Last Update Date:2020-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36-003148213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH370061OtherWELLCARE
OH7259247OtherAETNA
OH000000195923OtherANTHEM BC BS
OH341952775026OtherCARESOURCE
OH480033730OtherRAILROAD MEDICARE
OH2201987Medicaid
OH480033730OtherRAILROAD MEDICARE
OH2201987Medicaid
OH7259247OtherAETNA