DOUGLAS MARTIN
NPI 1205812302
Pediatrics in Chanhassen, MN

Q: What is the provider's specialty?

The provider's specialty is Pediatrics with taxonomy code 208000000X.

Active since December 20, 2005

300 LAKE DR E, CHANHASSEN, MN 55317(952) 993-4300 Get Directions Write a Review

NPPES record last updated: March 5, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Douglas Martin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOUGLAS MARTIN (NPI 1205812302) is an individual pediatrics provider in Chanhassen, Minnesota, licensed in Minnesota (23593) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1205812302

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDOUGLAS MARTIN

Location Address300 LAKE DR EChanhassen, MN 55317-9302

Mailing Address3800 Park Nicollet Blvd, CredentialingSt Louis Park, MN 55416-2527

Phone(952) 993-4300

Sole ProprietorNo

Enumeration DateDecember 20, 2005

Last NPPES UpdateMarch 5, 2012

✔ NPI 1205812302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MN · 23593

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

300 LAKE DR E, Chanhassen, MN 55317

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