NPI Profile for Dr ROBERT P MARTIN in MANTENO, IL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry | |
Podiatrist |
213E00000X | 48 | Podiatry |
| NPI Number | 1497732499 |
|
| Status | Active | |
| Credentials | DPM (Doctor of Podiatric Medicine) | |
| Entity | Individual | |
| Enumeration date | 12/30/2005 | |
| Last updated | 10/27/2007 - About 19 years ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) |
|
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ROBERT P MARTIN
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