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Individual
MR. MICHAEL P MARTIN
Active
Individual
MR. MICHAEL P MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20708
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0100924
UHC
NE
01
—
03548
BCBS
NE
01
—
1588613038
TRICARE
NE
01
—
8002
MIDLANDS CHOICE
NE
Enumeration date
05/10/2006
Last updated
12/05/2007
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