Individual
MISS ANNALISA JOANN MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3601 W 13 MILE RD STE EC, ROYAL OAK, MI 48073-6712
(248) 898-0575
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
(947) 522-1859
(947) 522-0307
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008621
MI
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
01/14/2015
Last updated
08/29/2019
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