Individual
CAROLYN GOODRICH MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
713 4TH ST, KALKASKA, MI 49646-9506
(231) 258-9586
Mailing address
713 4TH ST, KALKASKA, MI 49646-9506
(231) 258-9586
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
4301049495
MI
Other
Enumeration date
01/31/2008
Last updated
01/31/2008
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