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Individual

DR. MERSADIES R MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4405 VANDEVER AVE, 4ND FLOOR, SAN DIEGO, CA 92120-3315
(619) 323-8700
Mailing address
4405 VANDEVER AVE, 4ND FLOOR, SAN DIEGO, CA 92120-3315
(619) 323-8700

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
139523
CA
208600000X
Surgery Physician
262418
MA
208600000X
Surgery Physician
4301097219
MI

Other

Enumeration date
07/01/2010
Last updated
12/03/2021
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