Individual
DR. MARTIN L. MIKAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
91 HOSPITAL DR, TOWANDA, PA 18848-9702
(570) 265-2191
(570) 268-2244
Mailing address
91 HOSPITAL DR, TOWANDA, PA 18848-9702
(570) 265-2191
(570) 268-2244
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD028560E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010108800001
—
PA
Enumeration date
08/19/2006
Last updated
11/21/2011
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