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Contact Information

MARK L MARTIN, DO
350 E SARNIA ST
WINONA, MN55987-3803
 Phone: 507-454-0646
 Fax: 507-452-1446
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Neuromusculoskeletal Medicine & OMM

204D00000X 12 Physician/Osteopathic Manipulative Medicine
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for MARK L MARTIN · (Male)

NPI # 1689615973
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/09/2006
Last updated 10/04/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # 31429
  • MN Medicaid 826787100
  • MN Other 3M316MA BLUE CROSS/BLUE SHIELD
Hospital affiliation(s)
  • WINONA HEALTH SERVICES - (Acute Care)
    855 MANKATO AVENUE
    WINONA, MN 55987
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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