Individual
DR. RICHARD EMIL MARTIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1027 WASHINGTON AVE, DETROIT LAKES, MN 56501-3409
(218) 847-5611
(218) 847-0891
Mailing address
1027 WASHINGTON AVE, DETROIT LAKES, MN 56501-3409
(218) 847-5611
(218) 847-0891
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
32191
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
463R2MA
BCBS
MN
01
—
HP16695
HEALTHPARTNER
MN
Enumeration date
10/11/2005
Last updated
07/08/2007
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