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1104357490
PETER RAY MARTIN
SOUTH BEND, IN
NPI
1104357490
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: LA 323680)
Enumeration Date
2017-03-27
Last Update Date
2021-01-08
Business Address
Dr. PETER RAY MARTIN MD
715 PARK AVE
SOUTH BEND, IN 46616-1337
Phone number: 574-536-4151
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Mailing Address
Dr. PETER RAY MARTIN MD
715 PARK AVE
SOUTH BEND, IN 46616-1337
Phone number: 574-536-4151
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