Individual
JOSEPH G MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2300 53RD AVE, SUITE 100, BETTENDORF, IA 52722-7564
(563) 322-0971
(563) 324-0615
Mailing address
2300 53RD AVE, SUITE 100, BETTENDORF, IA 52722-7564
(563) 322-0971
(563) 324-0615
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
036092379
IL
207X00000X
Orthopaedic Surgery Physician
Primary
29326
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0110544
—
IA
01
—
040798
HEALTH ALLIANCE
—
01
—
15537
MIDLANDS CHOICE
—
01
—
19952
IA HEALTH SOLUTIONS
—
01
—
200029094
RR MEDICARE
—
01
—
57865
WELLMARK
IA
01
—
58102
WELLMARK
IA
01
—
58113
WELLMARK
IA
01
—
8121085
BCBS
IL
01
—
IA0146
JOHN DEERE FAMILY
IA
01
—
IA0158
JOHN DEERE FAMILY
IA
01
—
T81029
JOHN DEERE FAMILY
IA
Enumeration date
01/06/2006
Last updated
03/18/2011
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