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Individual
DR. MARTIN D WHITAKER
Active
Individual
DR. MARTIN D WHITAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
015596
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061139
ANTHEM BLUE CROSS
ME
05
—
325120099
—
ME
01
—
3739577
AETNA
ME
05
—
431545400
—
ME
01
—
M2307901
CIGNA
ME
01
—
P00184354
RAILROAD MEDICARE
ME
Enumeration date
10/14/2005
Last updated
08/28/2012
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