Individual
GARRETT R MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
78 RIDGEWOOD DR, BANGOR, ME 04401-2652
(207) 307-8902
(207) 307-8912
Mailing address
78 RIDGEWOOD DR, BANGOR, ME 04401-2652
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
010448
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00304
ANTHEM
—
01
—
09-04049
UNITED HC
—
01
—
1042007
AETNA
—
01
—
200009585
RR MEDICARE
—
05
—
244700099
—
ME
01
—
D03964
HP
—
01
—
M53271
CIGNA
—
Enumeration date
06/09/2005
Last updated
07/16/2021
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