Individual
JOHN DAVID MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
861 HEALTH PARK BLVD, GRAND BLANC, MI 48439-7383
(810) 953-0500
(810) 953-0031
Mailing address
861 HEALTH PARK BLVD, GRAND BLANC, MI 48439-7383
(810) 953-0500
(810) 953-0031
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5101008124
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4592053
—
MI
Enumeration date
06/30/2006
Last updated
07/08/2007
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