Individual
DAVID JOHN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3331 15TH AVE S, FARGO, ND 58103-4565
(701) 429-8201
Mailing address
984 51ST AVE W, WEST FARGO, ND 58078-8367
(701) 261-8054
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
01/29/2021
Last updated
01/29/2021
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