Individual
MICHELE M MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
5249 E TERRACE DR, MADISON, WI 53718
(608) 265-1295
(608) 265-0920
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2507
WI
Other
Enumeration date
02/28/2006
Last updated
04/28/2009
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