Individual
DR. RICHARD W MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1155 E PARIS AVE SE, STE 100, GRAND RAPIDS, MI 49546-8368
(616) 459-8088
(616) 459-8312
Mailing address
1155 EAST PARIS AVE SE, STE 100, GRAND RAPIDS, MI 49546-8368
(616) 459-8088
(616) 459-8312
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
4301407582
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4372336
—
MI
Enumeration date
09/30/2005
Last updated
06/30/2021
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