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NPI Code Detail

MEDICARE: DR. STEPHEN S MARTIN MD, PHD

MEDICARE: DR. STEPHEN S MARTIN MD, PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology Physician012052ME

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588660542
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEPHEN S MARTIN MD, PHD
Provider Business Mailing Address
First Line : PO BOX 785
Second Line :
City : PRESQUE ISLE
State : ME
Zip : 04769-0785
Country : US
Telephone Number : 207-764-7900
Fax Number : 207-764-7979
Provider Business Practice Location Address
First Line : 146 ACADEMY ST
Second Line : STE D
City : PRESQUE ISLE
State : ME
Zip : 04769-3102
Country : US
Telephone Number : 207-764-7900
Fax Number : 207-764-7979
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2005
Last Update Date : 03/29/2013

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