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Individual

BRUCE A MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
370 CLINE AVE STE B3, MANSFIELD, OH 44907-1057
(419) 756-9995
(419) 756-9921
Mailing address
370 CLINE AVE STE B3, MANSFIELD, OH 44907-1057
(419) 756-9995
(419) 756-9921

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35053817
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0699589
OH
Enumeration date
01/30/2006
Last updated
03/18/2021
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