# ANTHONY MARTIN MDMS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104849330
- **Authorized official:** ANTHONY MARTIN MD (OWNER/PRESIDENT)
- **Authorized official phone:** (734) 792-0441

## Contact information

- **Practice address:** 16001 W 9 MILE RD, PROVIDENCE HOSPITAL, SOUTHFIELD, MI 48075-4818
- **Practice address phone:** (313) 971-3698
- **Mailing address:** 10096 HART AVE, HUNTINGTON WOODS, MI 48070-1126
- **Mailing address phone:** (248) 655-0337
- **Mailing address fax:** (248) 655-0339

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 4301061359 | MI | Yes |

## Other

- **Enumeration date:** 07/26/2006
- **Last updated:** 02/29/2016