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General NPI Number Information
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NPI Number | 1851352504
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Entity Type | Individual
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Provider Name | WAYNE L MARTINSEN M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/31/2006
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 600 22ND AVE NW
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City | MINOT
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State | ND
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Zip | 58703-0986
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Country | US
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Telephone | 701-837-6508
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Fax | 701-858-1839
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Provider Business Mailing Address
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Address Line | PO BOX 5010
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City | MINOT
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State | ND
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Zip | 58702-5010
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Country | US
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Telephone | 701-418-8000
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Fax | 701-858-1839
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 7429
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License Number State | ND
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