Individual
JOSEPH HAROLD MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
7600 PARKLAWN AVE, SUITE 103, EDINA, MN 55435-5125
(952) 288-3412
Mailing address
19101 EAGLEVIEW LN, PRIOR LAKE, MN 55372-3801
(612) 558-6660
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2145
MN
Other
Enumeration date
05/19/2006
Last updated
12/06/2010
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