Individual
GARRETT R MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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