Amy Martyanov is a Neurology in Marquette, Michigan. Amy Martyanov practices all healthcare services and medical treatments related to Neurology. The NPI Number for Amy Martyanov is 1922270768. The last update date is 2023-07-07.
Amy Martyanov's current location address is 580 W College Ave, Marquette, Michigan. You can contact this provider via phone number 9062253993. The mailing address for Amy Martyanov is 580 W College Ave, Marquette, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amy Martyanov |
|---|---|
| Address | 580 W College Ave, Marquette, Michigan |
| Phone Number | 9062253993 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1922270768 |
|---|---|
| Provider Enumeration Date | 2008-04-01 |
| Last Updated Date | 2023-07-07 |
Provider Mailing Address Detail
| Address | 580 W College Ave |
|---|---|
| City | Marquette |
| State | Michigan (MI) |
| Post Code | 498552705 |
| Phone Number | 9062253993 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Neurology |
|---|---|
| Taxonomy | 2084N0400X |
| Licence No | LT19894 |
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Definition: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ENROLLED | MN | -- |
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What is the Amy Martyanov's unique identification number?
The Amy Martyanov has been assigned the NPI (National Provider Identifier) Number 1922270768 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Amy Martyanov located?
The Amy Martyanov is located at 580 W College Ave, Marquette, MI 498552705.
What is the Amy Martyanov's area of specialization and corresponding taxonomy classification?
The Amy Martyanov's specialty field is Neurology, and it falls under the taxonomy code 2084N0400X, which categorizes healthcare providers based on their specialties.
On what date did Amy Martyanov receive its 1922270768 assignment from the Centers for Medicare & Medicaid Services?
The Amy Martyanov was assigned its 1922270768 on 2008-04-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Amy Martyanov most recently updated or revised?
The details related to Amy Martyanov, including its address, specialty, and other relevant information, were last updated or revised on 2023-07-07.
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