Individual
SHANNON MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
215 E MANSION ST STE 2B, MARSHALL, MI 49068-1167
(269) 781-4018
(866) 707-3586
Mailing address
215 E MANSION ST STE 2B, MARSHALL, MI 49068-1167
(269) 781-4018
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301088676
MI
Other
Enumeration date
05/10/2007
Last updated
06/08/2022
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