Individual
DR. MATTHEW D MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
245 CHERRY ST SE, SUITE 302, GRAND RAPIDS, MI 49503-4607
(616) 459-4131
(616) 459-6030
Mailing address
245 CHERRY ST SE, SUITE 302, GRAND RAPIDS, MI 49503-4607
(616) 459-4131
(616) 459-6030
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301092559
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
06/30/2008
Last updated
08/21/2014
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