Individual
KURT MARTINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 6TH AVE NO, CENTRA CARE CLINIC, ST CLOUD, MN 56303
(320) 252-5131
(320) 240-2118
Mailing address
1200 6TH AVE NO, CENTRA CARE CLINIC, ST CLOUD, MN 56303
(320) 252-5131
(320) 240-2118
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
TEMP 102328
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
462901910
—
MI
Enumeration date
05/13/2006
Last updated
11/28/2011
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