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1841222452
GEORGE L MARTIN
FORT WAYNE, IN
NPI
1841222452
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: IN 01071495A)
Additional Taxonomies
208800000X Urology
(Licence: AZ 37370)
Enumeration Date
2006-07-06
Last Update Date
2022-11-16
Business Address
GEORGE L MARTIN M.D.
11141 PARKVIEW PLAZA DR STE 325
FORT WAYNE, IN 46845-1714
Phone number: 260-425-5400
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Mailing Address
GEORGE L MARTIN M.D.
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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