Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK LEE MARTIN, D.O.
Active Sole ProprietorDR. MARK LEE MARTIN, D.O. is a Pain Medicine (PM&R) healthcare provider located in WINONA, Minnesota. NPI 1689615973 is currently active in the NPPES registry. Verify at CMS.
Pain Medicine (PM&R) · WINONA, MN
Registration Details
- NPI Number
- 1689615973
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 9, 2006 (20.178338488194 yrs)
- Last Updated
- Oct 4, 2011
- Licenses
-
31429 (MN)31429 (MN)31429 (MN)31429 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
350 E SARNIA STWINONA, MN, 559873803Browse MN providers · Browse ZIP 55987
- Phone
- 5074540646
- Fax
- 5074521446
- Primary Specialty
-
Pain Medicine (PM&R)
2081P2900X
- Additional Specialty
- Family Medicine
- Additional Specialty
- Physical Medicine & Rehabilitation
- Additional Specialty
- Pain Medicine (PM&R)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.