Individual
DR. ADAM SAMUEL MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 S PARK ST, MADISON, WI 53715-1830
(608) 251-6100
(608) 260-2976
Mailing address
1808 W BELTLINE HWY, MADISON, WI 53713-2334
(608) 250-1497
(608) 250-1384
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
48839
KY
208600000X
Surgery Physician
89956
OH
208600000X
Surgery Physician
TP752
KY
2086S0127X
Trauma Surgery Physician
Primary
73750
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2806539
—
OH
05
—
7100390250
—
KY
Enumeration date
07/06/2007
Last updated
12/28/2020
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