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Individual
MICHAEL JOSEPH MARTIN
Active
Individual
MICHAEL JOSEPH MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CHIROPRACTOR
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01387
MD
111N00000X
Chiropractor
3485
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128138100
—
MD
01
—
M494
CAREFIRST BLUE CROSS
MD
01
—
W2960001
CAREFIRST BLUE CHOICE
MD
Enumeration date
06/29/2006
Last updated
03/14/2012
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