Individual
MATTHEW JOSEPH MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
955 W MIDLAND RD, AUBURN, MI 48611-9406
(989) 662-2501
(989) 662-6961
Mailing address
955 W MIDLAND RD, AUBURN, MI 48611-9406
(989) 662-2501
(989) 662-6961
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004017
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0Z96514
BCBS
MI
Enumeration date
10/04/2005
Last updated
02/04/2013
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