Individual
WERNER MARTENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
902 GRAYDON AVE, NORFOLK, VA 23507-1208
(757) 622-1661
(757) 627-0704
Mailing address
902 GRAYDON AVE, NORFOLK, VA 23507-1208
(757) 622-1661
(757) 627-0704
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101022116
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016367
HEALTHKEEPERS
VA
01
—
12073
OPTIMA
VA
01
—
222838
MDIPA
—
05
—
6040985
—
VA
05
—
8902073
—
NC
Enumeration date
12/14/2006
Last updated
11/29/2007
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