Individual
MICHAEL MARTYNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
765 LIBERTY ST STE 207, MEADVILLE, PA 16335-2568
(814) 373-2156
(814) 373-2159
Mailing address
1034 GROVE ST, MEADVILLE, PA 16335-2945
(814) 373-2156
(814) 373-2159
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
178238
NY
208800000X
Urology Physician
Primary
MD033101E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01915728
—
NY
01
—
10033939
CDPHP
—
01
—
248074
MVP HEALTHPLAN
NY
Enumeration date
07/31/2006
Last updated
02/16/2023
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