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Individual

DR. MARTIN RICHARD HUECKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
530 S JACKSON ST, DEPARTMENT OF EMERGENCY MEDICINE C1H17, LOUISVILLE, KY 40202-1675
(502) 852-5689
(502) 852-4701
Mailing address
530 S JACKSON ST, DEPARTMENT OF EMERGENCY MEDICINE C1H17, LOUISVILLE, KY 40202-1675
(502) 852-5689
(502) 852-4701

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
44609
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000576590
ANTHEM - NORTON ICC
KY
05
7100109280
KY
01
R1699
LICENSE
KY
Enumeration date
09/25/2007
Last updated
03/07/2023
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