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Organization

WISAM MARTINI, MD, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WISAM MARTINI M.D. (OWNER)
(313) 609-7310
Entity
Organization

Contact information

Practice address
22811 GREATER MACK AVE, SAINT CLAIR SHORES, MI 48080-2021
(586) 778-4950
(586) 778-4952
Mailing address
4300 DREXEL DR, TROY, MI 48098-4347
(248) 275-1080

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MI
207RC0000X
Cardiovascular Disease Physician
Primary
MI
207RI0011X
Interventional Cardiology Physician
MI

Other

Enumeration date
07/31/2008
Last updated
07/31/2008
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