Individual
MARTIN MBU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
856 UNIVERSITY AVE W, SAINT PAUL, MN 55104-4807
(651) 665-9795
(651) 665-9796
Mailing address
856 UNIVERSITY AVE W, SAINT PAUL, MN 55104-4807
(651) 665-9795
(651) 665-9796
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
1758694
MN
Other
Enumeration date
06/25/2018
Last updated
06/25/2018
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