Individual
DR. EUGENE DALE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
134 S MAIN ST, GREENWOOD, WI 54437-0214
(715) 267-7890
Mailing address
W3734 ROCK CREEK RD, LOYAL, WI 54446
(715) 267-7890
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2129
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38911700
—
WI
Enumeration date
04/18/2007
Last updated
07/09/2007
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