Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Douglas Martin

Individual provider Pediatrics Physician · NPI 1205812302

Douglas Martin is a Pediatrics Physician in Chanhassen, Minnesota. Licensed in Minnesota. Registered with an NPI since 2005.

Licensed in
MN
In the registry since
2005

Practice location Address checks out

300 Lake Dr E
Chanhassen, MN 55317-9302
Phone: (952) 993-4300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 23593 (MN)

Record details

NPI number1205812302
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 20, 2005
Last updated in NPPESMarch 5, 2012

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