Individual
SHAREL A MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
325 BUTTS AVE, TOMAH, WI 54660-1412
(608) 372-5951
(608) 372-3436
Mailing address
325 BUTTS AVE, TOMAH, WI 54660-1412
(608) 372-5951
(608) 372-3436
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
37339-20
WI
207Q00000X
Family Medicine Physician
37339
WI
Other
Enumeration date
10/26/2005
Last updated
04/02/2015
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