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NPI 1649228842

NPI 1649228842 : HAL F. MARTENS, D.O., PLC : FLINT, MI

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General NPI Number Information
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    NPI Number           |    1649228842
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    Entity Type          |    Organization 
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    Legal Business Name  |    HAL F. MARTENS, D.O., PLC 
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Dates
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    Enumeration Date     |    05/04/2006
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    G3535 BEECHER RD SUITE C
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    City                 |    FLINT
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    State                |    MI
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    Zip                  |    48532-2700
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    Country              |    US
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    Telephone            |    810-249-0140
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    Fax                  |    810-249-0142
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Provider Business Mailing Address
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    Address Line         |    G3535 BEECHER RD SUITE C
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    City                 |    FLINT
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    State                |    MI
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    Zip                  |    48532-2700
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    Country              |    US
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    Telephone            |    810-249-0140
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    Fax                  |    810-249-0142
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. HAL F MARTENS 
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    Credential           |    D.O.
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    Telephone            |    810-249-0140
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RR0500X
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    Taxonomy Name        |    Rheumatology Physician
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    License Number       |    5101009406
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    License Number State |    MI
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