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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