Individual
SAMUEL JEFFREY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 E 28TH ST STE 1750, MINNEAPOLIS, MN 55407-3799
(952) 807-5384
Mailing address
2800 WAYZATA BLVD APT 406, MINNEAPOLIS, MN 55405-2149
(952) 807-5384
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
76729
MN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/17/2020
Last updated
06/19/2024
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