Individual
MICHAEL MARTONICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7205 265TH ST NW, STANWOOD, WA 98292-6221
(360) 629-1501
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15695
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023516
—
WA
Enumeration date
02/25/2006
Last updated
12/13/2012
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