Individual
DR. MARK LEE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
350 E SARNIA ST, WINONA, MN 55987-3803
(507) 454-0646
(507) 452-1446
Mailing address
350 E SARNIA ST, WINONA, MN 55987-3803
(507) 454-0646
(507) 452-1446
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
31429
MN
207Q00000X
Family Medicine Physician
31429
MN
208100000X
Physical Medicine & Rehabilitation Physician
31429
MN
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
31429
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3M316MA
BLUE CROSS/BLUE SHIELD
MN
05
—
826787100
—
MN
Enumeration date
06/09/2006
Last updated
10/04/2011
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