Provider Demographics
NPI:1740168400
Name:MARSENBURG, MYRON III
Entity type:Individual
Prefix:MR
First Name:MYRON
Middle Name:
Last Name:MARSENBURG
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5930 RED OAK DR
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43615-1841
Mailing Address - Country:US
Mailing Address - Phone:419-279-2815
Mailing Address - Fax:
Practice Address - Street 1:5930 RED OAK DR
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43615-1841
Practice Address - Country:US
Practice Address - Phone:419-279-2815
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-21
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide