Individual
COLLEEN M MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5050 SCHAEFER RD, DEARBORN, MI 48126-3249
(313) 581-2600
(313) 581-0228
Mailing address
695 N CREST LN, SOUTH LYON, MI 48178-1153
(248) 437-9246
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
3501001686
MI
Other
Enumeration date
11/13/2006
Last updated
03/04/2019
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