Individual
JOHN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
PO BOX 860912, PROVIDER ENROLLMENT RST, MINNEAPOLIS, MN 55486-0912
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
036109451
IL
207RG0100X
Gastroenterology Physician
Primary
58809
MN
207RG0100X
Gastroenterology Physician
G205426
CA
Other
Enumeration date
07/07/2006
Last updated
06/09/2026
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