Individual
MARTIN BURBANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 384-6800
(937) 384-6938
Mailing address
1 PRESTIGE PL STE 550, MIAMISBURG, OH 45342-6115
(937) 762-1305
(937) 522-7513
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.136754
OH
208M00000X
Hospitalist Physician
Primary
35.136754
OH
Other
Enumeration date
04/06/2017
Last updated
05/05/2023
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