Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 44681 | AZ |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 35.122442 | OH |
N | 207XS0106X | Orthopaedic Hand Surgeon | 44681 | AZ |
NPI | 1306095518 |
---|---|
Provider Name | Dr. David William Martineau |
First Address | Cincinnati, OH 45271-0001 |
Second Address | Dayton, OH 45414-5800 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/09/2008 |
Last Update Date | 30/10/2013 |