Individual
DR. MICHAEL LEONARD MARTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
510 HWY 55 EAST, KIMBALL, MN 55353
(320) 398-7900
(320) 398-7902
Mailing address
PO BOX 371, KIMBALL, MN 55353-0371
(320) 398-7900
(320) 398-7902
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2068
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
230530
CHIROCARE
MN
01
—
3K836KI
BLUECROSS BLUE SHIELD
MN
Enumeration date
08/10/2005
Last updated
01/17/2008
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