Individual
DR. MICHAEL JOHN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
33 HAMLINE AVE S, SAINT PAUL, MN 55105-2231
(651) 690-0866
Mailing address
33 HAMLINE AVE S, SAINT PAUL, MN 55105-2231
(651) 690-0866
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5319
MN
Other
Enumeration date
01/10/2010
Last updated
01/10/2010
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