Individual
MR. MICHAEL P MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6820 S 32ND ST, LINCOLN, NE 68516-6025
(402) 323-8400
(402) 323-8405
Mailing address
6820 S 32ND ST, LINCOLN, NE 68516-6025
(402) 323-8400
(402) 323-8405
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20708
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0100924
UHC
NE
01
—
03548
BCBS
NE
01
—
1588613038
TRICARE
NE
01
—
8002
MIDLANDS CHOICE
NE
Enumeration date
05/10/2006
Last updated
12/05/2007
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