Individual
JOHN M MARTENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
411 LAUREL ST, SUITE C100, DES MOINES, IA 50314-3017
(515) 643-5168
(515) 643-5187
Mailing address
PO BOX 816, DES MOINES, IA 50304-0816
(515) 643-8780
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
34592
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0258079
—
IA
01
—
47508
WELLMARK BLUE SHIELD
IA
Enumeration date
11/01/2006
Last updated
11/20/2007
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