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Individual

DR. BRETT R MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D. C.

Contact information

Practice address
1601 E MAIN ST STE 1B, ST CHARLES, IL 60174-2387
(630) 377-4955
(630) 377-4958
Mailing address
1601 E MAIN ST STE 1B, ST CHARLES, IL 60174-2387
(630) 377-4955
(630) 377-4958

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-011586
IL

Other

Enumeration date
01/04/2010
Last updated
01/04/2010
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