Individual
SHIH-RU MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
225 N 7TH ST, BISMARCK, ND 58501-4417
(701) 224-9643
(701) 323-2929
Mailing address
225 N 7TH ST, BISMARCK, ND 58501-4417
(701) 224-9643
(701) 323-2929
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R27183
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19886
—
ND
Enumeration date
02/05/2008
Last updated
02/05/2008
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