Individual
DANIEL MARTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4201 SAINT ANTOINE ST, UHC 9C, DETROIT, MI 48201-2153
(313) 993-0034
Mailing address
1087 MARCO DR NE, SAINT PETERSBURG, FL 33702-2717
(727) 410-1563
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5101022075
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/26/2015
Last updated
12/23/2015
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