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Individual
CASEY S. MARTIN
Active
Individual
CASEY S. MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38855
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-03705
MEDICA CHOICE/DUAL/PTCH #
MN
01
—
1016634
PREFERRED ONE NUMBER
MN
01
—
112864
UCARE NUMBER
MN
05
—
1536748
—
IA
01
—
26G29MA
BCBS NUMBER
MN
05
—
34284200
—
WI
01
—
773469
AMERICA'S PPO NUMBER
MN
01
—
HP26164
HEALTHPARTNERS NUMBER
MN
Enumeration date
09/26/2006
Last updated
07/09/2007
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