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Dr. Gerald Mikel Martin, DO
Adult Medicine Physician in Muskogee, Oklahoma
NPI 1760570840

Gerald Mikel Martin is an Adult Medicine Physician based in Muskogee, OK and is specialized in Adult Medicine. Gerald Mikel Martin practices in Muskogee, OK and has the professional credentials of DO. The NPI Number for Gerald Mikel Martin is 1760570840 and holds a License No. 1990 (Oklahoma).

The current practice location address for Gerald Mikel Martin is 350 S 40Th St, Muskogee, OK and can be reached out via phone at 918-683-0753 and via fax at 918-687-5251.

Location: 350 S 40Th St, Muskogee, OK, 74401-4915
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760570840
Provider Name
Gerald Mikel Martin
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
350 S 40Th St, Muskogee, OK, 74401-4915
Phone Number
918-683-0753
Fax Number
918-687-5251
Provider Enumeration Date
10/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100255710A 05 OK
institution
Provider Business Practice Location Address Details
Address
350 S 40Th St
City
Muskogee
State
Oklahoma
Zip
74401-4915
Phone Number
918-683-0753
Fax Number
918-687-5251
person
Provider Business Mailing Address Details
Address
350 S 40Th St
City
Muskogee
State
Oklahoma
Zip
74401-4915
Phone Number
918-683-0753
Fax Number
918-687-5251
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
207QA0505X
License No.
1990 (Oklahoma)
Definition
Definition to come.
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