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Individual

MR. BRIAN SCOTT MARTELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2355 HIGHWAY 36 W, STE 100, ROSEVILLE, MN 55113
(651) 292-2000
Mailing address
2355 HIGHWAY 36 W, STE 100, ROSEVILLE, MN 55113-3905
(651) 292-2000

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
60281
MN
390200000X
Student in an Organized Health Care Education/Training Program
MT196916
PA

Other

Enumeration date
05/03/2010
Last updated
07/20/2021
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