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Individual

CHARLES T MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
5903 WOLFPEN PLEASANT HILL RD, MILFORD, OH 45150-2132
(513) 831-7503
(513) 831-7923
Mailing address
4700 SMITH RD, SUITE A, CINCINNATI, OH 45212-2787
(513) 619-6885
(513) 533-6001

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36-00-1914-M
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0790658
OH
Enumeration date
12/27/2005
Last updated
03/05/2008
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