Individual
JOHN ARTHUR MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3884 MONITOR RD, BAY CITY, MI 48706-9298
(989) 671-2000
(989) 671-4000
Mailing address
501 LAPEER AVE, HEALTH DELIVERY INC, SAGINAW, MI 48607-1208
(989) 759-6464
(989) 399-8233
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601001218
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080G310660
BLUE CROSS BLUE SHIELD MI
MI
01
—
1012014
MCLAREN HEALTH PLAN
—
01
—
146037
GREAT LAKES HEALTH PLAN
—
01
—
260
COMMUNITY CHOICE
MI
01
—
2832651
MOLINA HEALTH CARE
MI
01
—
381908328
TRICARE
—
Enumeration date
10/06/2005
Last updated
01/31/2011
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