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Individual

DR. CAROLYN K MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5350 EASTERN AVE, DAVENPORT, IA 52807-2709
(563) 355-1853
(563) 359-1512
Mailing address
5350 EASTERN AVE, DAVENPORT, IA 52807-2709
(563) 355-1853
(563) 359-1512

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
28473
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16405
MEDICARE PTAN
IA
05
2095109
IA
Enumeration date
10/10/2006
Last updated
10/22/2014
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