Organization
BRUCE A. MARTIN, M.D., L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE A. MARTIN M.D. (PRESIDENT)
(419) 631-4635
Entity
Organization
Contact information
Practice address
630 LEXINGTON AVE, MANSFIELD, OH 44907-1500
(419) 631-4635
(419) 756-3944
Mailing address
630 LEXINGTON AVE, MANSFIELD, OH 44907-1500
(419) 631-4635
(419) 756-3944
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-053817
OH
Other
Enumeration date
06/25/2008
Last updated
06/25/2008
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