Individual
SPENCER GEORGE MARTENS
Active
Individual
SPENCER GEORGE MARTENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036163712
IL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
85100-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
125.075325
IL
390200000X
Student in an Organized Health Care Education/Training Program
28488
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100331362
—
WI
01
—
28488
TRN#
FL
Enumeration date
06/12/2019
Last updated
09/10/2025
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