Individual
MICHAEL MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
521 MONROE ST, PETOSKEY, MI 49770-2266
(231) 487-1900
Mailing address
521 MONROE ST, PETOSKEY, MI 49770-2266
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301099289
MI
Other
Enumeration date
01/11/2013
Last updated
06/21/2016
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