Individual
ELIOT J MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C.
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10108
MN
363AS0400X
Surgical Physician Assistant
10108
MN
363AS0400X
Surgical Physician Assistant
3026
AZ
Other
Enumeration date
11/23/2005
Last updated
08/21/2020
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