Individual
DR. CARLOS H MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
103 E MANSION ST, MARSHALL, MI 49068-1117
(269) 781-2658
Mailing address
103 E MANSION ST, MARSHALL, MI 49068-1117
(269) 781-2658
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301095260
MI
207RP1001X
Pulmonary Disease Physician
Primary
4301095260
MI
2083X0100X
Occupational Medicine Physician
BP1-0023228
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2784962094
MYUTMB 2784962094
—
Enumeration date
08/05/2007
Last updated
12/16/2019
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