Individual
MICHAEL WARREN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PBT (ASCP)
Contact information
Practice address
4412 AMES AVE, ANCHORAGE, AK 99508-1702
(907) 952-3117
(800) 660-0768
Mailing address
PO BOX 141642, ANCHORAGE, AK 99514-1642
(907) 952-3117
(800) 660-0768
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
434438
AK
Other
Enumeration date
07/08/2007
Last updated
07/08/2007
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