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MARTIN DALE BEATTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
400 HOBART ST, CADILLAC, MI 49601-2331
(231) 876-7200
Mailing address
PO BOX 58, CADILLAC, MI 49601-0058
(866) 898-7139
(616) 975-9824

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601003206
MI

Other

Enumeration date
05/25/2006
Last updated
05/20/2008
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