Individual
GARRY MICHAEL MARTIN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4320 WORNALL RD, STE 530, KANSAS CITY, MO 64111-5941
(913) 932-0288
(816) 932-9868
Mailing address
901 E 104TH ST, MAILSTOP 400N, KANSAS CITY, MO 64131-4517
(816) 502-8756
(816) 932-9670
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
UNKNOWN
KS
Other
Enumeration date
06/26/2007
Last updated
08/01/2016
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