Individual
MAX MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12330 METCALF AVE STE 420, OVERLAND PARK, KS 66213-1307
(913) 317-7840
(913) 317-7395
Mailing address
12330 METCALF AVE STE 420, OVERLAND PARK, KS 66213-1307
(913) 317-7840
(913) 317-7395
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
04-47802
KS
207RP1001X
Pulmonary Disease Physician
2023012290
MO
Other
Enumeration date
04/14/2017
Last updated
10/03/2023
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