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Individual
MARTINUS J DYRUD
Active
Individual
MARTINUS J DYRUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DOS-1079
HI
207R00000X
Internal Medicine Physician
Primary
OS12476
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000254227
HMSA BILLING NUMBER
HI
05
—
572744-01
—
HI
Enumeration date
06/23/2006
Last updated
03/27/2015
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