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Contact Information

SHANE D MARTIN, DO
4201 CAMPUS RIDGE DRIVE
MIDLAND, MI48640
 Phone: 989-839-1795
 Fax: 989-839-1785
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for SHANE D MARTIN · (Male)

NPI # 1386872588
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/25/2009
Last updated 11/03/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 5101018126
Hospital affiliation(s)
  • MIDMICHIGAN MEDICAL CENTER-CLARE - (Acute Care)
    703 N MCEWAN ST
    CLARE, MI 48617
  • MIDMICHIGAN MEDICAL CENTER-GLADWIN - (Critical Access)
    515 QUARTER STREET
    GLADWIN, MI 48624
  • MIDMICHIGAN MEDICAL CENTER-MIDLAND - (Acute Care)
    4000 WELLNESS DRIVE
    MIDLAND, MI 48670
  • WEST BRANCH REGIONAL MEDICAL CENTER - (Acute Care)
    2463 SOUTH M-30
    WEST BRANCH, MI 48661
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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