Individual
DR. MICHELLE TERESE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-5114
Mailing address
2205 N FARWELL AVE, APT #12, MILWAUKEE, WI 53202-1168
(608) 843-3834
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14434-040
WI
183500000X
Pharmacist
5291220
IL
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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