Individual
MINERVA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11024 WAHRMAN ST, ROMULUS, MI 48174-3813
(313) 784-5550
(313) 784-5550
Mailing address
11024 WAHRMAN ST, ROMULUS, MI 48174-3813
(313) 784-5550
(734) 941-6711
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
M635603014055
MI
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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