Organization
EDWARD L MARTIN PC
Active
Other names
Martin Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD L MARTIN DC (PRESIDENT)
(989) 777-8282
Entity
Organization
Contact information
Practice address
5905 W ROLLING HILLS DR, BRIDGEPORT, MI 48722-9656
(989) 777-8282
(989) 777-8680
Mailing address
5905 W ROLLING HILLS DR, BRIDGEPORT, MI 48722-9656
(989) 777-8282
(989) 777-8680
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301006823
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0G31168
BLUE CROSS BLUE SHIELD
MI
Enumeration date
02/08/2007
Last updated
07/02/2009
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