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Individual

JAMES JOHN MARTINEAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN, MSN, FNP, NP-C

Contact information

Practice address
1100 7TH AVE S, EXPRESS CLINIC, PRINCETON, MN 55371-4555
(763) 389-5207
(763) 389-4138
Mailing address
25162 134TH ST NW, ZIMMERMAN, MN 55398-2103
(763) 360-7070

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R 143375-7
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
41-1952112
MN
Enumeration date
09/27/2006
Last updated
03/29/2010
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