Individual
DR. MICHAEL P MARTIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
121 W CENTURY AVE, BISMARCK, ND 58503-1402
(701) 751-7750
(701) 751-7734
Mailing address
121 W CENTURY AVE, BISMARCK, ND 58503-1402
(701) 751-7750
(701) 751-7734
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5911
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16458
—
ND
01
—
MAR23893
BCBS OF ND
ND
Enumeration date
11/18/2005
Last updated
06/23/2021
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