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Individual
MICHAEL PAUL MARTINELLI
Active
Individual
MICHAEL PAUL MARTINELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
004436
GA
363A00000X
Physician Assistant
Primary
2024032326
MO
363A00000X
Physician Assistant
4436
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
911331220A
—
GA
05
—
911331220B
—
GA
Enumeration date
06/21/2006
Last updated
10/25/2024
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