Individual
MATTHEW KURT MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 S LOS ROBLES AVE # 501, PASADENA, CA 91101-2453
(626) 564-3016
Mailing address
2006 HOGBACK RD, ANN ARBOR, MI 48105-9750
(734) 263-2417
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95252236
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
4704346487
MI
Other
Enumeration date
07/31/2023
Last updated
04/23/2026
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