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Individual
DR. JOSEPH SHANE MARTIN
Active
Individual
DR. JOSEPH SHANE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
13468-320
WI
207Q00000X
Family Medicine Physician
1671953
ID
207Q00000X
Family Medicine Physician
Primary
2012-01861
NC
207Q00000X
Family Medicine Physician
24403
NV
207Q00000X
Family Medicine Physician
346136
LA
207Q00000X
Family Medicine Physician
79518
MN
Other
Enumeration date
05/09/2011
Last updated
06/02/2025
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