Individual
MARK R ST. MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
26850 PROVIDENCE PKWY, SUITE 505, NOVI, MI 48374-1209
(248) 465-4163
(248) 465-4359
Mailing address
26850 PROVIDENCE PKWY, SUITE 505, NOVI, MI 48374-1209
(248) 465-4163
(248) 465-4359
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301082441
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4883284
—
MI
Enumeration date
03/29/2006
Last updated
11/10/2015
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