Provider Demographics
NPI:1427583756
Name:MARTINI, CURT JOSEPH JR (DPM)
Entity Type:Individual
Prefix:DR
First Name:CURT
Middle Name:JOSEPH
Last Name:MARTINI
Suffix:JR
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9615 KEILMAN ST
Mailing Address - Street 2:
Mailing Address - City:SAINT JOHN
Mailing Address - State:IN
Mailing Address - Zip Code:46373-9406
Mailing Address - Country:US
Mailing Address - Phone:219-365-0220
Mailing Address - Fax:
Practice Address - Street 1:9615 KEILMAN ST
Practice Address - Street 2:
Practice Address - City:SAINT JOHN
Practice Address - State:IN
Practice Address - Zip Code:46373-9406
Practice Address - Country:US
Practice Address - Phone:219-365-0220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-24
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN07001365A213ES0103X
IL016.005884213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery