Individual
DR. MARTIN RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13699 E. OLD US HIGHWAY 12, CHLESEA, MI 48118-5097
(734) 475-4500
(734) 475-4507
Mailing address
13699 E. OLD US HIGHWAY 12, CHLESEA, MI 48118
(734) 475-4500
(734) 475-4507
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301509245
MI
Other
Enumeration date
05/20/2020
Last updated
05/07/2023
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