Martin, Mark Lee

Martin, Mark Lee is an sole proprietor health care provider with primary practice located at 350 E Sarnia St , Winona MN 55987-3803. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Martin, Mark Lee can be contacted via phone (507) 454-0646.

Contact Information

Primary practice address
350 E Sarnia St Winona MN 55987-3803
Phone: (507) 454-0646
Fax: (507) 452-1446
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X 31429 Minnesota
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 31429 Minnesota
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 31429 Minnesota
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 31429 Minnesota

Profile Details

NPI number 1689615973
LBN Legal business name Martin, Mark Lee
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2006
Last updated Oct 4th, 2011 - about 13 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 1689615973 NPPES
Minnesota Other 3M316MA BLUE CROSS/BLUE SHIELD
Minnesota MEDICAID 826787100 BLUE CROSS/BLUE SHIELD

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