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Contact Information

GERALD M MARTIN, DO
350 S 40TH ST
MUSKOGEE, OK74401-4915
 Phone: 918-683-0753
 Fax: 918-687-5251
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Medicine

207QA0505X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for GERALD M MARTIN · (Male)

NPI Number 1760570840
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 10/11/2006
Last updated 11/12/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 1990
  • OK Medicaid 100255710A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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