# MARTIN A V TUMA MD VASCULAR SURGERY PLLC

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

## Provider details

- **NPI number:** 1780919936
- **Authorized official:** DR. MARTIN A TUMA MD (OWNER)
- **Authorized official phone:** (248) 559-1266

## Contact information

- **Practice address:** 22255 GREEMFIELD ROAD \#250, SOUTHFIELD, MI 48075
- **Practice address phone:** (248) 559-1266
- **Practice address fax:** (248) 559-5499
- **Mailing address:** 22255 GREEMFIELD ROAD \#250, SOUTHFIELD, MI 48075
- **Mailing address phone:** (248) 559-1266
- **Mailing address fax:** (248) 559-5499

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 41055 | MI | Yes |

## Other

- **Enumeration date:** 10/06/2009
- **Last updated:** 08/05/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 020005310 | RAILROAD MEDICARE | MI |
| 01 | — | 020630705 | BC/BS | MI |
| 01 | — | 0630705 | MEDICARE ID TYPE UNSPECIFIED | MI |
| 05 | — | 1656836 | — | MI |