Individual
DANIEL K MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5105 N GLEN PARK PLACE RD, PEORIA, IL 61614-4675
(309) 308-5900
(309) 308-5910
Mailing address
5105 N GLEN PARK PLACE RD, PEORIA, IL 61614-4675
(309) 308-5900
(309) 308-5910
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036133008
IL
Other
Enumeration date
06/28/2010
Last updated
07/07/2023
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