Individual
ALEXANDER MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4502
(616) 685-5000
Mailing address
1820 44TH ST SE, KENTWOOD, MI 49508-5006
(517) 787-6440
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704282016
MI
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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