Organization
NORTH STAR PLASTIC SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERICK MARTELL MD (OWNER)
(305) 761-1934
Entity
Organization
Contact information
Practice address
1919 LATHROP ST STE 205, FAIRBANKS, AK 99701-5942
(907) 416-5611
Mailing address
1919 LATHROP ST, FAIRBANKS, AK 99701-5937
(907) 459-3586
(907) 374-7770
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720992
—
AK
Enumeration date
01/31/2023
Last updated
09/13/2023
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