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Individual

MICHAEL DAVID MARTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
825 W MARKET ST, SUITE 205, LIMA, OH 45805-2799
(419) 996-5780
(419) 996-5781
Mailing address
PO BOX 636930, CINCINNATI, OH 45263-0001
(513) 981-5015

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34.008817
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11648024
CAQH
05
2677965
OH
01
34.008817
MEDICAL LICENSE
OH
Enumeration date
08/09/2006
Last updated
07/06/2017
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