Individual
JULIANA MARIE MARTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
21540 W 11 MILE RD STE 200, SOUTHFIELD, MI 48076-3843
(888) 742-0285
Mailing address
51649 WOODSIDE DR, MACOMB, MI 48042-4241
(586) 337-5775
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704298950
MI
Other
Enumeration date
10/20/2017
Last updated
07/21/2022
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