Individual
WISAM MARTINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 SUPERIOR AVE STE 4100, MUNSTER, IN 46321-4037
(219) 934-4080
(219) 934-4075
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01087451A
IN
207RC0000X
Cardiovascular Disease Physician
01087451A
IN
207RC0000X
Cardiovascular Disease Physician
4301073342
MI
207RI0011X
Interventional Cardiology Physician
Primary
01087451A
IN
207RI0011X
Interventional Cardiology Physician
35092774
OH
207RI0011X
Interventional Cardiology Physician
4301073342
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2928827
—
OH
Enumeration date
06/06/2006
Last updated
04/08/2026
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