Individual
DR. MARTIN J WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1135 116TH AVE NE, SUITE 620, BELLEVUE, WA 98004
(425) 454-8016
(425) 453-2827
Mailing address
1135 NE 116TH AVE, SUITE 620, BELLEVUE, WA 98004
(425) 454-8016
(425) 453-2827
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD00034094
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033410
—
WA
Enumeration date
11/02/2006
Last updated
07/21/2022
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