Individual
TODD D MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6050 VILLAGE DR, LINCOLN, NE 68516-4714
(402) 421-8581
(402) 421-8594
Mailing address
6050 VILLAGE DR, LINCOLN, NE 68516-4714
(402) 421-8581
(402) 421-8594
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
22176
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31725
BLUE CROSS BLUE SHIELD
NE
05
—
470352176-13
—
NE
Enumeration date
08/30/2006
Last updated
04/07/2021
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