Individual
MARTHA POLLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1949 W 12 MILE RD STE 100, BERKLEY, MI 48072-1868
(248) 551-0615
(248) 551-7268
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301054213
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110F376980
BCBSM
MI
05
—
3074920
—
MI
Enumeration date
03/27/2006
Last updated
12/02/2024
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