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NPI Code Detail

MEDICARE: DR. CURT JOSEPH MARTINI JR. DPM

MEDICARE: DR. CURT JOSEPH MARTINI JR. DPM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213ES0103XFoot & Ankle Surgery Podiatrist07001365AIN
2213ES0103XFoot & Ankle Surgery Podiatrist016.005884IL

General Provider Information

NPI Number : 1427583756
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CURT JOSEPH MARTINI JR. DPM
Provider Business Mailing Address
First Line : 9615 KEILMAN ST
Second Line :
City : SAINT JOHN
State : IN
Zip : 46373-9406
Country : US
Telephone Number : 219-365-0220
Fax Number :
Provider Business Practice Location Address
First Line : 9615 KEILMAN ST
Second Line :
City : SAINT JOHN
State : IN
Zip : 46373-9406
Country : US
Telephone Number : 219-365-0220
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2017
Last Update Date : 05/24/2021

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