Individual
LUIS A MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 CONEY ST W, PERHAM, MN 56573-2102
(218) 347-1200
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
(952) 857-1554
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
45359
MN
207Q00000X
Family Medicine Physician
Primary
45359
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
514110900
—
MN
Enumeration date
01/18/2006
Last updated
03/23/2023
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