Individual
DR. THOMAS DAVID MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1900 WEALTHY ST SE, SUITE 180, GRAND RAPIDS, MI 49506-2969
(616) 774-8501
(616) 774-8595
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301094619
MI
Other
Enumeration date
04/01/2009
Last updated
02/26/2021
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