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Individual
DR. DAVID WENDELL MARTIN
Active
Individual
DR. DAVID WENDELL 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
34359
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000042976
BLUE CROSS BLUE SHIELD
KY
01
—
000000523945
ANTHEM
KY
01
—
1529561
UMWA
KY
01
—
164138200
FEDERAL BLACK LUNG
KY
01
—
611330253
COMMERCIAL INS
KY
05
—
64343593
—
KY
Enumeration date
04/23/2007
Last updated
07/15/2015
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