Bruce A. Martin, M.d., L.l.c.

NPI #1285896803 in Mansfield, Ohio

Provider Information

NPI Number: 1285896803
Entity Type: Organization
Organization Name: Bruce A. Martin, M.d., L.l.c.
Primary Specialty: Internal Medicine
Enumeration Date: Jun 25, 2008
Last Updated: Jun 25, 2008

Practice Location

Address: 630 LEXINGTON AVE
City: Mansfield
State: Ohio
ZIP Code: 44907-1500
Phone: (419) 631-4635

Authorized Official

Name: DR. BRUCE A. MARTIN, M.D.
Title: PRESIDENT
Phone: (419) 631-4635

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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