Individual
DR. EDWARD L MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
5905 W ROLLING HILLS DR, BRIDGEPORT, MI 48722-9656
(989) 777-8282
(989) 777-8680
Mailing address
5905 W ROLLING HILLS DR, BRIDGEPORT, MI 48722-9656
(989) 777-8282
(989) 777-8680
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301006823
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0997552
HEALTH PLUS
MI
01
—
0G31168
GROUP BLUE CROSS BLUE SHI
MI
01
—
0G31169
BLUE CROSS BLUE SHIELD
MI
Enumeration date
06/16/2006
Last updated
07/08/2007
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