Individual
DR. MARTIN RUNNSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1670 CLAIRMONT ROAD, DECATUR, GA 30033-9819
(404) 321-6111
Mailing address
1600 SW ARCHER RD, SUITE 4102, POB 100265, GAINESVILLE, FL 32610-3003
(352) 265-0239
(352) 265-1107
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
84711
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2016
Last updated
04/28/2023
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