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Individual

MARTIN FRANCIS FOXEN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
1825 29TH ST NE, CEDAR RAPIDS, IA 52402-3452
(319) 362-6994
Mailing address
1780 MAURA KNOLL DR, CEDAR RAPIDS, IA 52403-9064
(319) 366-2279

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2712
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0241125
IA
01
48286
WELLMARK
IA
Enumeration date
06/20/2005
Last updated
07/08/2007
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