Individual
MR. SCOTT M MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSOM
Contact information
Practice address
1807 E OLIVE ST APT 204, SHOREWOOD, WI 53211-2049
(414) 241-3061
Mailing address
1807 E OLIVE ST APT 204, SHOREWOOD, WI 53211-2049
(414) 241-3061
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
607-055
WI
Other
Enumeration date
08/28/2009
Last updated
08/28/2009
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