Individual
BRIAN W MARTINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1969 W HART RD, BELOIT, WI 53511-2230
(608) 364-5011
Mailing address
1969 W HART RD, BELOIT, WI 53511-2230
(608) 364-5011
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/19/2021
Last updated
06/27/2022
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