Stanley Michael Martin, OD

NPI #1093704264 in Modesto, California

Provider Information

NPI Number: 1093704264
Entity Type: Individual
Name: Stanley Michael Martin, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Oct 19, 2005
Last Updated: Jan 27, 2011

Practice Location

Address: 1011 SYLVAN AVE
City: Modesto
State: California
ZIP Code: 95350-1692
Phone: (209) 575-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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