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

Dr. Mary K Martinie, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1720015316

Dr. Mary K Martinie, MD is an Obstetrics/Gynecology in Crystal, Minnesota. Graduated from Indiana University School of Medicine in 2001, 25 years ago. Practices with Premier OBGYN of Minnesota PLLC, a 89-clinician group and accepts Medicare assignment. Licensed in Indiana and Minnesota.

Years since qualifying
25
Trained at
Indiana University School of Medicine
Licensed in
IN, MN
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5700 Bottineau Blvd #210
Crystal, MN 55429-3183
Phone: (763) 587-7000
Fax: (763) 587-7015
Show map & directions

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

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 103949 (MN)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 01056942A (IN)

Record details

NPI number1720015316
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 27, 2006
Last updated in NPPESJune 18, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2001 (25 years in practice)
Group practice Premier Obgyn Of Minnesota Pllc — 89 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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