MEDICARE: WILLIAM C. MARTIN MD PC

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
1	207X00000X	Orthopaedic Surgery Physician	WM035116	MI

Other Identifiers

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

General Provider Information

NPI Number	:	1760648992
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLIAM C. MARTIN MD PC

Provider Business Mailing Address
First Line	:	1005 MULHOLLAND ST
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48708-7646
Country	:	US
Telephone Number	:	989-894-2471
Fax Number	:	989-894-4463

Provider Business Practice Location Address
First Line	:	1005 MULHOLLAND ST
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48708-7646
Country	:	US
Telephone Number	:	989-894-2471
Fax Number	:	989-894-4463

Authorized Official
Title or Position	:	OWNER
Name	:	WILLIAM C MARTIN
Credential	:	MD
Telephone Number	:	989-894-2471

Provider Enumeration Date	:	08/07/2008
Last Update Date	:	09/25/2008

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