Individual
DONALD J MARTIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
750 HIGH ST, ADRIAN, MI 49221-1443
(517) 264-5111
(517) 264-5139
Mailing address
750 HIGH ST, ADRIAN, MI 49221-1443
(517) 264-5111
(517) 264-5139
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301045313
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000494719
ANTHEM
—
01
—
04535
PARAMOUNT
—
05
—
0904249
—
OH
01
—
102319
GLHP
—
01
—
204600571
BCBS MI
—
01
—
4515920
AETNA
—
05
—
4907813
—
MI
01
—
510801
CARECHOICE/PREFERRED CHOI
—
01
—
5879
HPM
—
01
—
P00371571
RRMC
—
Enumeration date
08/03/2006
Last updated
11/03/2023
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