Individual
MARTIN K FUJIMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9000 NORTH MAIN ST, SUITE 403 MAIN STREET FAMILY PRACTICE INC, DAYTON, OH 45415-1180
(937) 836-5171
(937) 832-0728
Mailing address
9000 NORTH MAIN STREET, SUITE 403 MAIN STREET FAMILY PRACTICE INC, DAYTON, OH 45415-1180
(937) 836-5171
(937) 832-0728
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35055024
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000014144
ANTHEM BCBS
—
01
—
0120585
UHC
OH
01
—
0193792
CIGNA
OH
05
—
0668246
—
OH
01
—
4327103
AETNA
OH
Enumeration date
07/07/2005
Last updated
02/22/2021
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