| Bruce A. Martin, M.d., L.l.c. | |
|
630 Lexington Ave Mansfield OH 44907-1500 | |
| (419) 631-4635 | |
| (419) 756-3944 |
| Full Name | Bruce A. Martin, M.d., L.l.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 630 Lexington Ave, Mansfield, Ohio |
| Authorized Official Name and Position | Bruce A. Martin (PRESIDENT) |
| Authorized Official Contact | 4196314635 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce A. Martin, M.d., L.l.c. 630 Lexington Ave Mansfield OH 44907-1500 Ph: (419) 631-4635 | Bruce A. Martin, M.d., L.l.c. 630 Lexington Ave Mansfield OH 44907-1500 Ph: (419) 631-4635 |
| NPI Number | 1285896803 |
|---|---|
| Provider Enumeration Date | 06/25/2008 |
| Last Update Date | 06/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285896803 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35-053817 (Ohio) | Primary |
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