# JOHN ARTHUR MARTIN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1386632164
- **Gender:** Man
- **Credential:** PA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 5601001218 | MI | Yes |

## Other

- **Enumeration date:** 10/06/2005
- **Last updated:** 01/31/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 080G310660 | BLUE CROSS BLUE SHIELD MI | MI |
| 01 | — | 1012014 | HEALTH ADVANTAGE PPO | — |
| 01 | — | 146037 | GREAT LAKES HEALTH PLAN | — |
| 01 | — | 260 | COMMUNITY CHOICE | MI |
| 01 | — | 2832651 | MOLINA HEALTH CARE | MI |
| 01 | — | 381908328 | TRICARE | — |