Mark Richard Martens, CRNA
Nurse Anesthetist, Certified Registered in Delano, MN. Individual provider (NPI-1).
NPI number1194921973
StatusActive
Last updated in NPPESMar 21, 2016
Details
- NPI
- 1194921973
- Entity type
- Individual (NPI-1)
- Name
- Mr. Mark Richard Martens
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 27, 2007
- Last updated
- Mar 21, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R162211-5 | MN | Yes |
Practice location
310 Greenway DrDelano, MN 55328-4571
Phone 763-229-5441
Mailing address
310 Greenway DrDelano, MN 55328-4571
Phone 763-229-5441
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