Individual
DR. MARTIN R FUNK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1 E 2ND ST, CHANUTE, KS 66720-2460
(620) 431-2300
Mailing address
PO BOX 497, CHANUTE, KS 66720-0497
(620) 431-2300
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1351-3
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100219180A
—
KS
Enumeration date
09/19/2005
Last updated
02/22/2011
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