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General NPI Number Information
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NPI Number | 1891397402
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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 | 11/10/2020
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Last Update Date | 11/10/2020
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Provider Practice Location Address
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Address Line | 4335 JACKSON RD
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City | ANN ARBOR
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State | MI
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Zip | 48103-1831
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Country | US
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Telephone | 517-879-4241
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Fax | 517-879-4240
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Provider Business Mailing Address
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Address Line | PO BOX 3038
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City | ANN ARBOR
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State | MI
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Zip | 48106-3038
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Country | US
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Telephone | 517-879-4241
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Fax | 517-879-4240
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Authorized Official
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Title or Position | OWNER
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Name | DARRYL J MARTINS
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Credential |
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Telephone | 517-879-4241
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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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