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Individual
DR. MARY K MARTINIE
Active
Individual
DR. MARY K MARTINIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
01056942A
IN
207V00000X
Obstetrics & Gynecology Physician
Primary
103949
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200529960
—
IN
Enumeration date
06/27/2006
Last updated
06/18/2014
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