Individual
BRETT WILLIAM MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
230 W OAK ST, FREMONT, MI 49412-1526
(231) 924-4200
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5101015466
MI
207QS0010X
Sports Medicine (Family Medicine) Physician
5101015466
MI
207X00000X
Orthopaedic Surgery Physician
5101015466
MI
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
5101015466
MI
Other
Enumeration date
08/08/2006
Last updated
03/25/2022
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