Individual
MARTHA M ORDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1700 UNIVERSITY AVE W FL 6, SAINT PAUL, MN 55104-3727
(616) 685-6919
(616) 685-3063
Mailing address
1700 UNIVERSITY AVE W, ST PAUL, MN 55101
(616) 914-3545
(616) 685-1850
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301058645
MI
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
4301058645
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
.
—
Enumeration date
09/18/2007
Last updated
07/21/2022
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