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Organization
JESUS A MARTINEZ MD PC
Active
Organization
JESUS A MARTINEZ MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESUS MARTINEZ MD (GENERAL PRACTICE)
(313) 359-0222
Entity
Organization
Contact information
Practice address
2012 MONROE BLVD SUITE 104, DEARBORN, MI 48124
(313) 359-0222
Mailing address
2012 MONROE BLVD SUITE 104, DEARBORN, MI 48124
(313) 359-0222
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
JM031056
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4241325
—
MI
Enumeration date
04/12/2007
Last updated
06/21/2018
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