Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 4301058645 | MI |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 4301058645 | MI |
NPI | 1255527826 |
---|---|
Provider Name | Martha M Ording |
First Address | St Paul, MN 55101 |
Second Address | Saint Paul, MN 55104-3727 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/09/2007 |
Last Update Date | 31/05/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0 | . (01) |