Individual
JUSTIN MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1575 BEAM AVE, ATTENTION EMERGENCY DEPARTMENT, MAPLEWOOD, MN 55109
(651) 232-7000
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11845
MN
363A00000X
Physician Assistant
—
IN
Other
Enumeration date
06/29/2012
Last updated
06/17/2021
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