Douglas Martin

NPI #1205812302 in Chanhassen, Minnesota

Provider Information

NPI Number: 1205812302
Entity Type: Individual
Name: Douglas Martin
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Enumeration Date: Dec 20, 2005
Last Updated: Mar 5, 2012

Practice Location

Address: 300 LAKE DR E
City: Chanhassen
State: Minnesota
ZIP Code: 55317-9302
Phone: (952) 993-4300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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