Individual
MICHAEL J MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
608 S WASHINGTON ST STE 204, NAPERVILLE, IL 60540-6675
(505) 787-1013
Mailing address
608 S WASHINGTON ST STE 204, NAPERVILLE, IL 60540-6675
(505) 787-1013
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
3036
WI
Other
Enumeration date
08/28/2007
Last updated
11/03/2011
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