Individual
DR. MOLLY E MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6401 FRANCE AVE S, EDINA, MN 55435
(952) 924-8463
(952) 924-8358
Mailing address
6401 FRANCE AVE S, EDINA, MN 55435
(952) 924-8463
(952) 924-8358
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
47980
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110013557
RR MEDICARE
MN
Enumeration date
05/27/2005
Last updated
01/29/2014
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