Individual
DR. RANDALL LEE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2400 ELKHART RD, GOSHEN, IN 46526-1010
(574) 534-2500
(574) 534-2500
Mailing address
59771 GARVER AVE, ELKHART, IN 46517-3727
(574) 238-6609
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002644A
IN
Other
Enumeration date
11/08/2010
Last updated
01/14/2013
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