Individual
MICHAEL R MARTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4039 CARATOKE HWY, BARCO, NC 27917-9520
(252) 453-3013
(252) 453-4180
Mailing address
PO BOX 9, BARCO, NC 27917-0009
(252) 453-3013
(252) 453-4180
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24787
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890102J
—
NC
05
—
8954545
—
NC
Enumeration date
08/22/2005
Last updated
07/17/2013
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