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Individual

DR. MARTIN LANDON LADWIG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1074 E LOWER ROCK CREEK RD, INKOM, ID 83245-4904
(208) 681-5308
Mailing address
1074 E LOWER ROCK CREEK RD, INKOM, ID 83245-4904
(208) 681-5308

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
M8199
ID
207VM0101X
Maternal & Fetal Medicine Physician
M-8199
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
806128400
ID
Enumeration date
11/29/2006
Last updated
07/21/2022
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