Individual
MARTIN M RENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 E WISCONSIN AVE, MILWAUKEE, WI 53202-4815
(414) 290-6720
(414) 290-6755
Mailing address
111 E WISCONSIN AVE, MILWAUKEE, WI 53202-4815
(414) 290-6720
(414) 290-6755
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01056200A
IN
207P00000X
Emergency Medicine Physician
Primary
036-107441
IL
207P00000X
Emergency Medicine Physician
60646-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00262266
MEDICARE RAILROAD
IL
01
—
P00277529
MEDICARE RAILROAD
IL
Enumeration date
06/15/2006
Last updated
01/22/2024
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