Samuel I Martisius D.O.

NPI 1043440308 - Emergency Medicine - 207P00000X

NPI Details
NPI 1043440308
Gender Male
Enumeration Date 07/21/2009
Last Updated 08/25/2009
Entity Type Individual
Active Over 8 years ago
Practice Location
13355 E 10 MILE RD
WARREN MI, 48089-2048, US
Phone (586) 759-7690
Fax
Business Location
13355 E 10 MILE RD
WARREN MI, 48089-2048, US
Phone (586) 759-7690
Fax
Toxanomy
Taxonomy Code 207P00000X
License State Michigan
License Number 5101018393
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According to our database, Dr. Samuel I Martisius D.O. NPI is 1043440308, taxonomy code is 207P00000X and license number is 5101018393, license state is located at Michigan. Samuel I Martisius D.O. physically located at 13355 E 10 Mile Rd, Warren MI, 48089-2048. NPI Number Samuel I Martisius D.O. has the Individual type.

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1043440308 NPI number is provided on an as is basis without warranty of any kind. 1043440308 is maintained by the National Plan & Provider Enumeration System. The contents of Samuel I Martisius D.O. are for informational purposes only.