Individual
MRS. LEAH C MACMARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
85 E BIG BEAVER RD, TROY, MI 48083-1262
(586) 779-3030
(586) 779-6733
Mailing address
85 E BIG BEAVER RD, TROY, MI 48083-1262
(586) 779-3030
(586) 779-6733
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
5601005043
MI
363AM0700X
Medical Physician Assistant
Primary
5601005043
MI
Other
Enumeration date
06/05/2007
Last updated
01/16/2013
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