Individual
DR. NICOLE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-8000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
66602
WI
208M00000X
Hospitalist Physician
Primary
66602
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100078487
—
WI
Enumeration date
04/01/2015
Last updated
11/21/2024
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