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Individual

DR. ERICK G MARTELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
168881
AK
208600000X
Surgery Physician
11981
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1720992
AK
Enumeration date
03/13/2007
Last updated
02/01/2023
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