# DR. MARTIN D WHITAKER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1003805995
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 015596 | ME | Yes |

## Other

- **Enumeration date:** 10/14/2005
- **Last updated:** 08/28/2012

## 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 |