Organization
DIANNE MARTIN MD PROFESSIONAL CORPORATION
Active
Organization
DIANNE MARTIN MD PROFESSIONAL CORPORATION
Active
Other names
Dianne Martin MD PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANNE MARTIN MD (MD/PSYCHIATRIST)
(317) 541-9154
Entity
Organization
Contact information
Practice address
5670 CAITO DR, SUITE # 125 BUILDING #5, INDPLS, IN 46226-1364
(317) 541-9159
(317) 541-9179
Mailing address
5670 CAITO DR, SUITE # 125 BUILDING #5, INDPLS, IN 46226-1364
(317) 541-9159
(317) 541-9179
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01029502A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100235680
—
IN
05
—
200930000A
—
IN
Enumeration date
01/27/2009
Last updated
05/13/2014
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