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Individual
DR. MICHAEL D. MARTIN
Active
Individual
DR. MICHAEL D. MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD022713E
PA
207Q00000X
Family Medicine Physician
MD022713E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000410457
BLUE SHIELD
PA
05
—
0009625590005
—
PA
01
—
252317
UPMC
PA
Enumeration date
10/27/2005
Last updated
07/27/2012
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