MRS. Evan Keller Martin, PA-C

NPI #1134469265 in Bowling Green, Ohio

Provider Information

NPI Number: 1134469265
Entity Type: Individual
Name: MRS. Evan Keller Martin, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Feb 27, 2013
Last Updated: Feb 27, 2013

Practice Location

Address: 1037 CONNEAUT AVE
Address 2: SUITE 201
City: Bowling Green
State: Ohio
ZIP Code: 43402-5301
Phone: (419) 373-6046

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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