# MICHAEL GARY MARTIN

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

## Provider details

- **NPI number:** 1588671085
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0003X | Hematology & Oncology Physician | 2006013748 | MO | — |
| 207RH0003X | Hematology & Oncology Physician | 20639 | MS | — |
| 207RH0003X | Hematology & Oncology Physician | 44541 | TN | Yes |
| 207RH0003X | Hematology & Oncology Physician | M-2504 | GU | — |
| 207RH0003X | Hematology & Oncology Physician | MTL-2025-015 | GU | — |

## Other

- **Enumeration date:** 08/01/2006
- **Last updated:** 10/09/2025