Individual
MR. CORY EUGENE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1852 W. GRAND BLVD., DETROIT, MI 48208
(313) 894-8444
(313) 894-1274
Mailing address
1852 W. GRAND BLVD., DETROIT, MI 48208
(313) 894-8444
(313) 894-1274
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
L836030
MI
Other
Enumeration date
02/16/2016
Last updated
02/16/2016
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