Individual
DR. MINNIE LEE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1484 STRAITS DR, STE 5, BAY CITY, MI 48706-8718
(989) 667-8740
(989) 667-8745
Mailing address
PO BOX 1239, TROY, MI 48099-1239
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301069658
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
459759-10
—
MI
05
—
4597603-10
—
MI
Enumeration date
10/23/2006
Last updated
05/19/2015
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