Individual
BRADLEY A MARTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1091 S BEACON BLVD, GRAND HAVEN, MI 49417-2607
(616) 604-0096
(616) 604-0095
Mailing address
4400 E 8 MILE RD, DETROIT, MI 48234-1003
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
34.017385
OH
207Q00000X
Family Medicine Physician
Primary
5101025671
MI
Other
Enumeration date
05/24/2018
Last updated
07/25/2025
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