Martyanov, Amy

Martyanov, Amy is an individual health care provider with primary practice located at 580 W College Ave , Marquette MI 49855-2705. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is her primary health care specialty. Martyanov, Amy can be contacted via phone (906) 225-3993.

Contact Information

Primary practice address
580 W College Ave Marquette MI 49855-2705
Phone: (906) 225-3993
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2006018424 Missouri
Allopathic & Osteopathic Physicians / Neurology 2084N0400X LT19894 North Dakota
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 51192 Minnesota
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 4301099870 Michigan

Profile Details

NPI number 1922270768
LBN Legal business name Martyanov, Amy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2008
Last updated Jul 7th, 2023 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1922270768 NPPES
Minnesota MEDICAID ENROLLED

Popular Providers