MR. MICHAEL E MARTIN MD

Allergy and Immunology

Santa Rosa, California

Provider NPI: 1245213776

Provider Information:
MR. MICHAEL E MARTIN MD


Practice Location:
2461 SUMMERFIELD RD  SANTA ROSA, CA 95405 US
Tel: 707-525-0211  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	207K00000X	Physicians Allergy & Immunology	CA	G29076

Other Provider Identifiers:

Issuer	Number	State	Type
LICENSE	G29076	CA	01
	GR0061440	CA	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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