Individual
DR. MICHELE DAWN MARTIN
Active
Individual
DR. MICHELE DAWN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
E4786
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045823401
—
TX
05
—
1760446850
—
CA
01
—
480026955
RAILROAD GBA - RAILROAD MEDICARE
TX
01
—
88152G
BC/BS TX#
TX
Enumeration date
04/14/2006
Last updated
06/21/2018
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