Andrew Martin

NPI #1720473358 in La Porte, Indiana

Provider Information

NPI Number: 1720473358
Entity Type: Individual
Name: Andrew Martin
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Enumeration Date: Mar 31, 2015
Last Updated: Sep 14, 2021

Practice Location

Address: 400 LEGACY PLZ W
City: La Porte
State: Indiana
ZIP Code: 46350-5296
Phone: (219) 379-3166

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Surgery	208600000X	Primary

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