Individual
ELIZABETH M MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
9555 76TH ST, PLEASANT PRAIRIE, WI 53158-1984
(414) 290-6720
(414) 290-6755
Mailing address
111 E WISCONSIN AVE, SUITE 2000, MILWAUKEE, WI 53202-4815
(414) 290-6720
(414) 290-6755
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3530-23
WI
Other
Enumeration date
06/04/2015
Last updated
01/05/2022
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