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General NPI Number Information
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NPI Number | 1194646612
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Entity Type | Organization
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Legal Business Name | DR MARTINS FOOT AND ANKLE CLINIC
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Dates
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Enumeration Date | 07/22/2026
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Last Update Date | 07/22/2026
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Provider Practice Location Address
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Address Line | 100 S COOPER ST
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City | JACKSON
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State | MI
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Zip | 49201-1598
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Country | US
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Telephone | 517-879-4242
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Fax | 517-879-4240
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Provider Business Mailing Address
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Address Line | 100 S COOPER ST
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City | JACKSON
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State | MI
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Zip | 49201-1598
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Country | US
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Telephone | 517-879-4242
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Fax | 517-879-4240
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | ANIELKA MARTINS
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Credential |
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Telephone | 734-239-5161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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