Individual
DAVID R MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6106 S COUNTY ROAD 800 E, WALTON, IN 46994-8999
(574) 721-7898
(574) 212-0643
Mailing address
6106 S COUNTY ROAD 800 E, WALTON, IN 46994-8999
(574) 721-7898
(574) 212-0643
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01049134
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200180130
—
IN
05
—
30028292
—
IN
05
—
7100960230
—
KY
Enumeration date
06/28/2006
Last updated
10/09/2025
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