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NPI Code Detail

MEDICARE: JAMES A MARTIN MD

MEDICARE: JAMES A MARTIN MD
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
1207Q00000XFamily Medicine Physician4301022219MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20255600OTHERMIBLUE CROSS & BCN ID #
30856001OTHERMIHEALTHPLUS ID #
4C2331OTHERMIMCARE ID #
51002568OTHERMIMCLAREN HEALTH PLAN ID #

General Provider Information

NPI Number : 1841260817
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES A MARTIN MD
Provider Business Mailing Address
First Line : 11398 OREGON CIR
Second Line :
City : FENTON
State : MI
Zip : 48430-2496
Country : US
Telephone Number : 810-629-7052
Fax Number :
Provider Business Practice Location Address
First Line : 102 N ADELAIDE ST
Second Line :
City : FENTON
State : MI
Zip : 48430-2670
Country : US
Telephone Number : 810-629-2245
Fax Number : 810-629-6535
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2006
Last Update Date : 07/09/2007

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Directions to “ JAMES A MARTIN MD” Practice Location

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