# DR. JOSEPH SHANE MARTIN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1801188933
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 13468-320 | WI | — |
| 207Q00000X | Family Medicine Physician | 1671953 | ID | — |
| 207Q00000X | Family Medicine Physician | 2012-01861 | NC | Yes |
| 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