Douglas Martin, - Pediatrics in Chanhassen, MN

Douglas Martin, is a Pediatrics physician based in Chanhassen, Minnesota. Douglas Martin is licensed to practice in Minnesota (license number 23593) and his current practice location is 300 Lake Dr E, Chanhassen, Minnesota. He can be reached at his office (for appointments etc.) via phone at (952) 993-4300.

NPI number for Douglas Martin is 1205812302 and his current mailing address is 3800 Park Nicollet Blvd, Credentialing, St Louis Park, Minnesota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1205812302.

Contact Information

Douglas Martin,
300 Lake Dr E,
Chanhassen, MN 55317-9302
(952) 993-4300
Not Available



Physician's Profile

Full NameDouglas Martin
GenderMale
SpecialityPediatrics
Location300 Lake Dr E, Chanhassen, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1205812302
  • Provider Enumeration Date: 12/20/2005
  • Last Update Date: 03/05/2012

Medical Identifiers

Medical identifiers for Douglas Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205812302NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 23593 (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Douglas Martin is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Douglas Martin,
3800 Park Nicollet Blvd, Credentialing,
St Louis Park, MN 55416-2527

Ph: () -
Douglas Martin,
300 Lake Dr E,
Chanhassen, MN 55317-9302

Ph: (952) 993-4300

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Pediatrics Doctors in Chanhassen, MN

Dr. Erin Butterfield, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 300 Lake Dr E, Chanhassen, MN 55317
Phone: 952-993-4300    
Serena L Rosen,
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 300 Lake Dr E, Chanhassen, MN 55317
Phone: 952-993-4300    
Karin L. Mulrooney, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 300 Lake Dr E, Chanhassen, MN 55317
Phone: 952-993-4300    Fax: 952-993-4320

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