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Individual
IAN MICHAEL MARTIN
Active
Individual
IAN MICHAEL MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
DO.1717
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
03/28/2013
Last updated
06/12/2019
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