Individual
JEFFREY MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
225000 HUMMINGBIRD RD STE 100, WAUSAU, WI 54401-2950
(715) 359-6442
(715) 393-0390
Mailing address
225000 HUMMINGBIRD RD STE 100, WAUSAU, WI 54401-2950
(715) 359-6442
(715) 393-0390
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
61724-21
WI
207X00000X
Orthopaedic Surgery Physician
OT013120
PA
Other
Enumeration date
08/25/2009
Last updated
06/17/2021
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