Individual
DAVID C MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
5333 MCAULEY DR, SUITE 6016, YPSILANTI, MI 48197-1005
(734) 712-8350
Mailing address
PO BOX 932701, CLEVELAND, OH 44193-0015
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
003270
MI
363A00000X
Physician Assistant
Primary
5601003270
MI
Other
Enumeration date
08/21/2006
Last updated
05/08/2021
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