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Individual

MR. ANTHONY MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
7676
WI
363AS0400X
Surgical Physician Assistant
Primary
1919
NE
363AS0400X
Surgical Physician Assistant
PA.0003410
CO
363AS0400X
Surgical Physician Assistant
PA1260
NV
363AS0400X
Surgical Physician Assistant
PA22399
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1740254598
WI
Enumeration date
02/16/2006
Last updated
01/17/2024
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