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Individual

DONNA M MARTIN

Active
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Individual

DONNA M MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
4301068270
MI
208000000X
Pediatrics Physician
4301068270
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4321337
MI
Enumeration date
01/04/2006
Last updated
11/07/2019
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