Individual
DR. MICHAEL LOUIS MARTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2900 16TH ST, BEDFORD, IN 47421-3510
(812) 275-1381
(812) 275-1299
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01071930A
IN
207P00000X
Emergency Medicine Physician
29148
WV
207P00000X
Emergency Medicine Physician
MD073595L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001846035
—
PA
Enumeration date
07/13/2006
Last updated
04/13/2022
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