Individual
MARTIN SENITKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3635 BIENVILLE BLVD, OCEAN SPRINGS, MS 39564-5711
(228) 872-1951
(228) 875-9998
Mailing address
2101 HIGHWAY 90, GAUTIER, MS 39553-5340
(228) 497-7576
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
17578
NV
207R00000X
Internal Medicine Physician
21218
MS
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
2020011730
MO
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
21218
MS
207RN0300X
Nephrology Physician
M4522
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187822501
—
TX
Enumeration date
05/17/2007
Last updated
08/05/2022
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