Individual
CHAD MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4715 SULLIVAN SLOUGH RD, BURLINGTON, IA 52601-9013
(319) 753-0700
(319) 754-7885
Mailing address
4715 SULLIVAN SLOUGH RD, BURLINGTON, IA 52601-9013
(319) 753-0700
(319) 754-7885
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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