Individual
SHAINA DIANE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
120 N DELAWARE ST, SANDUSKY, MI 48471-1087
(810) 648-3770
Mailing address
142 MILLS ST, CROSWELL, MI 48422-1152
(810) 712-1392
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704347396
MI
Other
Enumeration date
10/31/2023
Last updated
10/31/2023
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