Healthcare Provider Details

I. General information

NPI: 1124344478
Provider Name (Legal Business Name): DARRYL J MARTINS DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: DARRYL MARTINS DPM

II. Dates (important events)

Enumeration Date: 04/12/2010
Last Update Date: 02/26/2026
Certification Date: 02/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1325 N MAIN ST STE C
ADRIAN MI
49221-1721
US

IV. Provider business mailing address

1325 N MAIN ST STE C
ADRIAN MI
49221-1721
US

V. Phone/Fax

Practice location:
  • Phone: 517-879-4242
  • Fax: 517-879-4240
Mailing address:
  • Phone: 517-879-4242
  • Fax: 517-879-4240

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number5901002348
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: