Individual
DR. MARTIN JEROME FIALKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
36314
IA
2084P0800X
Psychiatry Physician
MD024394E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04327
WELLMARK
IA
01
—
248245
MIDLANDS CHOICE
IA
Enumeration date
02/13/2006
Last updated
08/11/2007
Update your record
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