MARTIN LEE IMMERMAN MD NPI 1558333781

NPI Information

Martin Lee Immerman, MD is an obstetrics gynecology in Edina, MN. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Martin Lee Immerman, MD NPI is 1558333781. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6525 FRANCE AVE S
PAUL LARSON OB GYN CLINIC STE 100
EDINA, MN
ZIP 55435-624
Phone: (952) 927-4021
Fax: (952) 285-6183

The NPI 1558333781 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/2/2006 and was last updated on 3/19/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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