Individual
DAVID M MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA-C
Contact information
Practice address
N209 HICKORY LN, WATERLOO, WI 53594-9613
(920) 650-5404
Mailing address
N209 HICKORY LN, WATERLOO, WI 53594-9613
(920) 650-5404
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
19
WI
Other
Enumeration date
06/22/2011
Last updated
04/16/2026
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