Individual
JEAN E MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
336 S RIVER AVE, HOLLAND, MI 49423-3326
(616) 394-3788
Mailing address
PO BOX 99333, TROY, MI 48099-9333
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704080677
MI
Other
Enumeration date
01/02/2009
Last updated
01/02/2009
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