Individual
MARK J MARTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 252-5131
(320) 240-2118
Mailing address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 252-5131
(320) 240-2118
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
38248
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080076644
RR MEDICARE
—
01
—
1009667
PREFERRED ONE
—
01
—
110908
U-CARE
—
01
—
2114006
FIRST HEALTH PLAN
—
01
—
2501025
MEDICA HEALTH PLANS
—
01
—
600873
ARAZ GROUP/AMERICA'S PPO
—
01
—
641314500
MEDICAL ASSITANCE
—
05
—
641314500
—
MN
01
—
9D412MA
BCBS
—
01
—
CQ2388
RR MEDICARE
—
01
—
HP25482
HEALTH PARTNERS
—
Enumeration date
08/11/2005
Last updated
10/12/2011
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