Gerald Mikel Martin in Muskogee - Adult Medicine
Gerald Mikel Martin - NPI 1760570840
Gerald Mikel Martin is a Adult Medicine in Muskogee, Oklahoma. Gerald Mikel Martin practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Gerald Mikel Martin is 1760570840. The last update date is 2008-11-12.
Gerald Mikel Martin's current location address is 350 S 40th St, Muskogee, Oklahoma. You can contact this provider via phone number 9186830753 and fax number 9186875251. The mailing address for Gerald Mikel Martin is 350 S 40th St, Muskogee, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gerald Mikel Martin |
|---|---|
| Address | 350 S 40th St, Muskogee, Oklahoma |
| Phone Number | 9186830753 |
| Fax Number | 9186875251 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1760570840 |
|---|---|
| Provider Enumeration Date | 2006-10-11 |
| Last Updated Date | 2008-11-12 |
Provider Mailing Address Detail
| Address | 350 S 40th St |
|---|---|
| City | Muskogee |
| State | Oklahoma (OK) |
| Post Code | 744014915 |
| Phone Number | 9186830753 |
| Fax Number | 9186875251 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Medicine |
|---|---|
| Taxonomy | 207Qa0505X |
| Licence No | 1990 |
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Definition: The NUCC recommends this code not be used. Choose a more appropriate code. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100255710A | OK | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Gerald Mikel Martin by the Centers for Medicare & Medicaid Services?
The Gerald Mikel Martin has been issued the NPI (National Provider Identifier) 1760570840 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Gerald Mikel Martin's facilities are geographically located?
The facilities of Gerald Mikel Martin are physically situated at the following location: 350 S 40Th St, Muskogee, OK, 744014915.
What is Gerald Mikel Martin's specialized field of practice, and what is the corresponding taxonomy classification code?
The Gerald Mikel Martin's area of specialization is Adult Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Qa0505X.
When did the Gerald Mikel Martin receive its 1760570840?
The Gerald Mikel Martin was issued its 1760570840 on 2006-10-11, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Gerald Mikel Martin, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Gerald Mikel Martin, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-11-12.
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