Individual
MISS MARTIN JOSEPH TRUMBULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
277 NORTH ST, ALLEGAN, MI 49010-1138
(616) 915-9516
Mailing address
5443 RIVERTOWN CIR SW, WYOMING, MI 49418-9008
(616) 915-9516
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
5201003137
MI
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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