Individual
REBECCA M MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
10906 W SYCAMORE HILLS DR, FORT WAYNE, IN 46814-9334
(260) 625-5540
Mailing address
10906 W SYCAMORE HILLS DR, FORT WAYNE, IN 46814-9334
(260) 625-5540
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
02001840A
IN
Other
Enumeration date
01/04/2006
Last updated
07/08/2007
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