Individual
JEANINE M MARTIN
Active
Individual
JEANINE M MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
257616
MA
207R00000X
Internal Medicine Physician
OS11170
FL
207RR0500X
Rheumatology Physician
257616
MA
207RR0500X
Rheumatology Physician
Primary
MD208100
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2403796
—
LA
05
—
8539538
—
MS
Enumeration date
10/08/2009
Last updated
01/04/2016
Update your record
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