| Martin Family Practice Pc | |
|
4405 Bellemeade Ave Ste 102 Evansville IN 47714-0682 | |
| (812) 437-5554 | |
| (812) 437-5577 |
| Full Name | Martin Family Practice Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 4405 Bellemeade Ave, Evansville, Indiana |
| Authorized Official Name and Position | Mark A Martin (PHYSICIAN) |
| Authorized Official Contact | 8124375554 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Martin Family Practice Pc 4405 Bellemeade Ave Evansville IN 47714-0682 Ph: (812) 437-5554 | Martin Family Practice Pc 4405 Bellemeade Ave Ste 102 Evansville IN 47714-0682 Ph: (812) 437-5554 |
| NPI Number | 1902091143 |
|---|---|
| Provider Enumeration Date | 09/11/2007 |
| Last Update Date | 10/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902091143 | NPI | - | NPPES |
| 200355030B | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 02002206A (Indiana) | Primary |
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