Individual
RONALD T MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11220 ILLINOIS ST STE 220, CARMEL, IN 46032-9847
(317) 817-1976
(317) 817-1737
Mailing address
11220 ILLINOIS ST STE 220, CARMEL, IN 46032-9847
(317) 817-1976
(317) 817-1737
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
1034381
IN
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
1034381
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200060730
—
IN
Enumeration date
07/14/2005
Last updated
08/07/2025
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