Individual
MARTIN J. CRISTANELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1721 S STEPHENSON AVE, IRON MOUNTAIN, MI 49801-3637
(906) 774-1313
(906) 776-5639
Mailing address
PO BOX 549, IRON MOUNTAIN, MI 49801-0549
(906) 774-1313
(906) 776-5639
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
4301096312
MI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4301096312
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0220034
BCBS MI PIN
MI
01
—
P00853355
RR MEDICARE PIN
MI
Enumeration date
11/16/2006
Last updated
07/10/2013
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