Individual
DR. KEN MARTELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
703 3RD ST, MARATHON, WI 54448-9157
(715) 443-2248
(715) 443-9969
Mailing address
322 ROSS AVE, WAUSAU, WI 54403-6965
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2772
WI
Other
Enumeration date
05/18/2006
Last updated
09/19/2019
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