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Individual

DR. MICHAEL G MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
513 1ST AVE, VINTON, IA 52349-1749
(319) 472-4741
(319) 472-2827
Mailing address
513 1ST AVE, VINTON, IA 52349-1749
(319) 472-4741
(319) 472-2827

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
01848
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0245167
IA
Enumeration date
08/01/2005
Last updated
11/13/2017
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