Provider Demographics
NPI:1811060361
Name:TURNER, MARTIN E (DO)
Entity type:Individual
Prefix:
First Name:MARTIN
Middle Name:E
Last Name:TURNER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:116 TRACY MILES RD STE 200
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:IN
Mailing Address - Zip Code:46131-5547
Mailing Address - Country:US
Mailing Address - Phone:317-346-3100
Mailing Address - Fax:317-346-3660
Practice Address - Street 1:1125 W JEFFERSON ST STE 200
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:IN
Practice Address - Zip Code:46131
Practice Address - Country:US
Practice Address - Phone:317-346-3100
Practice Address - Fax:317-346-3660
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN02004045A207XX0005X, 207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201086470Medicaid
IN02004045AOtherSTATE LICENSE NUMBER