Individual
MICHAEL A MARTELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
115 SWEETWATER BLVD, PORT WASHINGTON HEALTH CENTER, PORT WASHINGTON, WI 53074-2657
(920) 476-6400
(262) 725-0630
Mailing address
PORT WASHINGTON HEALTH CENTER, 115 SWEETWATER BLVD., PORT WASHINGTON, WI 53074
(920) 476-6400
(262) 725-0630
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
242268
NY
207Q00000X
Family Medicine Physician
Primary
51612
WI
Other
Enumeration date
03/16/2007
Last updated
09/05/2023
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