Individual provider · Type 1 NPI
Martin Bruce Nead, D.P.M
Primary Podiatric Medicine Podiatrist · Charleston, IL
NPI number
1659407781
Active
Practice location
1014 E St
Charleston, IL 61920-2524
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Podiatric Medicine Podiatrist Primary | 213EP1101X | None listed |
Primary Podiatric Medicine Podiatrist: Definition to come...
About NPI 1659407781
Martin Bruce Nead, D.P.M's National Provider Identifier is 1659407781, issued on Feb 25, 2007. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in Charleston, IL. The record was last updated on Jul 9, 2007.