Individual
JACLYN MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1501 W CHISHOLM ST, ALPENA, MI 49707-1401
(989) 356-8060
(989) 356-7794
Mailing address
4000 WELLNESS DR, MIDLAND, MI 48670-2000
(989) 839-3000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007056
MI
Other
Enumeration date
08/20/2014
Last updated
11/15/2022
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