Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 5101018127 | MI |
NPI | 1013158906 |
---|---|
Provider Name | Dr. Jeffrey David Martindale |
First Address | Midland, MI 48640-2761 |
Second Address | Midland, MI 48640-2761 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2009 |
Last Update Date | 25/09/2015 |