Individual
MRS. MICHELLE ANN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COA
Contact information
Practice address
8817 N 83RD ST, OMAHA, NE 68122-2268
(402) 707-2798
(402) 391-1331
Mailing address
8817 N 83RD ST, OMAHA, NE 68122-2268
(402) 707-2798
(402) 391-1331
Taxonomy
Speciality
Code
Description
License number
State
156FX1101X
Ophthalmic Assistant
Primary
156525
NE
Other
Enumeration date
06/10/2016
Last updated
06/10/2016
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