Organization
MARSHFIELD PODIATRY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARRY M MARTIN DPM (OWNER)
(715) 384-3323
Entity
Organization
Contact information
Practice address
503 S CHESTNUT AVE, MARSHFIELD, WI 54449-3605
(715) 384-3323
(715) 389-2532
Mailing address
503 S CHESTNUT AVE, MARSHFIELD, WI 54449-3605
(715) 384-3323
(715) 389-2532
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
52325
WI
332BC3200X
Customized Equipment (DME)
52325
WI
335E00000X
Prosthetic/Orthotic Supplier
52325
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43204300
—
WI
Enumeration date
12/07/2011
Last updated
12/07/2011
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