Individual
MADISON RAE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN
Contact information
Practice address
7124 HIGHLAND RD, WATERFORD, MI 48327-1503
(248) 431-7245
Mailing address
7124 HIGHLAND RD, WATERFORD, MI 48327-1503
(248) 431-7245
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704322471
MI
Other
Enumeration date
04/27/2021
Last updated
04/27/2021
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