Individual
DR. ALISSA M MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3901 BEAUBIEN, CHILDREN'S HOSPITAL OF MI, DETROIT, MI 48201
(313) 745-5515
(313) 745-5237
Mailing address
4201 ST. ANTIONE UHC 5D, UNIVERSITY PEDIATRICIANS, DETROIT, MI 48201
(313) 966-5051
(313) 966-0665
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301104197
MI
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
4301104197
MI
Other
Enumeration date
08/04/2008
Last updated
09/30/2013
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