# MICHAEL JOHN MARTIN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1861885592
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | 34.014281 | OH | — |
| 207Q00000X | Family Medicine Physician | 34.014281 | OH | — |
| 207Q00000X | Family Medicine Physician | OS026003 | PA | Yes |

## Other

- **Enumeration date:** 03/05/2015
- **Last updated:** 09/28/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0410849 | — | OH |