Individual
THOMAS MARTENS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
2128 FORD PKWY, SAINT PAUL, MN 55116-1863
(651) 251-3491
Mailing address
6468 157TH ST W, APPLE VALLEY, MN 55124-6008
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
111577-4
MN
Other
Enumeration date
06/13/2006
Last updated
07/08/2007
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