Martin, Garry M

Martin, Garry M is an sole proprietor health care provider with primary practice located at 503 S Chestnut Ave , Marshfield WI 54449-3605. He recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Sports Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine is his primary health care specialty. Martin, Garry M can be contacted via phone (715) 384-3323.

Contact Information

Primary practice address
503 S Chestnut Ave Marshfield WI 54449-3605
Phone: (715) 384-3323
Fax: (715) 389-2532
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 523025 Wisconsin
Podiatric Medicine & Surgery Service Providers / Sports Medicine 213ES0000X 523025 Wisconsin
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 523025 Wisconsin

Profile Details

NPI number 1184610685
LBN Legal business name Martin, Garry M
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2005
Last updated Apr 10th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184610685 NPPES
Wisconsin MEDICAID 43204300

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