Individual
DR. AUSTIN DAVID MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1614 E NORRIS DR, OTTAWA, IL 61350-3681
(815) 433-1010
Mailing address
1614 E NORRIS DR, OTTAWA, IL 61350-3681
(815) 433-1010
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036.145204
IL
Other
Enumeration date
06/15/2015
Last updated
01/30/2020
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