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Individual

DR. JAMES C MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
49310 VAN DYKE AVE, SHELBY TOWNSHIP, MI 48317-1335
(586) 731-8900
(586) 731-7762
Mailing address
49310 VAN DYKE AVE, SHELBY TOWNSHIP, MI 48317-1337
(586) 731-8900
(586) 731-7762

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101015387
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4794907
MI
Enumeration date
07/19/2006
Last updated
12/22/2020
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