Individual
GARRY M MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
503 S CHESTNUT AVE, MARSHFIELD, WI 54449-3605
(715) 384-3323
(715) 389-2532
Mailing address
503 S CHESTNUT AVE, MARSHFIELD, WI 54449-3605
(715) 384-3323
(715) 389-2532
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
523025
WI
213ES0000X
Sports Medicine Podiatrist
523025
WI
213ES0103X
Foot & Ankle Surgery Podiatrist
523025
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43204300
—
WI
Enumeration date
09/21/2005
Last updated
04/10/2008
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