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Individual

BRETT WILLIAM MARTIN

Active
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Individual

BRETT WILLIAM MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

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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