Individual
DR. JAMIE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1801 W WISCONSIN AVE, MILWAUKEE, WI 53233-2186
(414) 288-7271
Mailing address
444 E CORCORAN AVE APT 316, MILWAUKEE, WI 53202-6163
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/10/2019
Last updated
05/10/2019
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