Individual
SIDNEY NORBORNE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4466 W BRISTOL RD, FLINT, MI 48507-3170
(810) 733-1200
(810) 733-0688
Mailing address
4466 W BRISTOL RD, FLINT, MI 48507-3170
(810) 733-1200
(810) 733-0688
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301407438
MI
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
4301407438
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0B51156
GROUP BCBS
MI
01
—
0N45090
GROUP MEDICARE
—
01
—
1215930490
TYPE 2 NPI
—
05
—
4081320
—
MI
01
—
CB0923
GROUP RAILROAD MEDICARE
—
Enumeration date
11/14/2005
Last updated
09/19/2013
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