Individual
MARTIN E SAMUEL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2741 W LAYTON AVENUE, SUITE 206, MILWAUKEE, WI 53221-2600
(414) 281-9820
(414) 281-9835
Mailing address
2741 W LAYTON AVENUE, SUITE 206, MILWAUKEE, WI 53221-2600
(414) 281-9820
(414) 281-9835
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
20223
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30307900
—
WI
Enumeration date
04/27/2006
Last updated
07/08/2007
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