Individual
GILBERT LAWRENCE MARTELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
118 MAIN ST SW, DUNSEITH, ND 58329-2936
(701) 472-1863
Mailing address
PO BOX 13, DUNSEITH, ND 58329-0013
Taxonomy
Speciality
Code
Description
License number
State
374T00000X
Religious Nonmedical Nursing Personnel
Primary
85872
ND
Other
Enumeration date
01/31/2022
Last updated
01/31/2022
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