Individual
DR. GAUDENCIO PERALTA MARTINEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 ORLEANS BLVD, COLDWATER, MI 49036-1767
(517) 278-2129
(517) 279-8172
Mailing address
6821 JOSHUA TREE CT, PORTAGE, MI 49024-1711
(269) 873-6019
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301401884
MI
Other
Enumeration date
08/05/2006
Last updated
01/31/2013
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