Individual
MR. NICKEY S MARTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S. CCC/A AUDIOLOGY
Contact information
Practice address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 252-1670
Mailing address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 252-1670
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
6343
MN
Other
Enumeration date
02/15/2009
Last updated
01/07/2010
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