# TODD D MARTIN MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073908562
- **Authorized official:** DR. TODD MARTIN MD (PRESIDENT)
- **Authorized official phone:** (402) 328-8833

## Contact information

- **Practice address:** 825 22ND ST, FAIRBURY, NE 68352-1221
- **Practice address phone:** (402) 416-3398
- **Mailing address:** 825 22ND ST, FAIRBURY, NE 68352-1221
- **Mailing address phone:** (402) 416-3398

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 22176 | NE | Yes |

## Other

- **Enumeration date:** 04/01/2015
- **Last updated:** 04/02/2015
