Individual
ELWOOD RAY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
335 GLESSNER AVE, MANSFIELD, OH 44903-2269
(419) 522-2833
(419) 524-1619
Mailing address
5400 FRANTZ RD, SUITE 250, DUBLIN, OH 43016-4144
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35-093726
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2985220
—
OH
Enumeration date
01/29/2008
Last updated
01/25/2022
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