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Louise Evelyn Martin, MD
Specialist in Warren, Michigan
NPI 1871680124

Louise Evelyn Martin is a Specialist based in Warren, MI. Louise Evelyn Martin practices in Warren, MI and has the professional credentials of MD. The NPI Number for Louise Evelyn Martin is 1871680124 and holds a License No. 4301059389 (Michigan).

The current practice location address for Louise Evelyn Martin is 11250 E 13 Mile Rd, Warren, MI and can be reached out via phone at 586-751-2520 and via fax at 586-751-7004.

Location: 11250 E 13 Mile Rd, Warren, MI, 48093-2597
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871680124
Provider Name
Louise Evelyn Martin
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
11250 E 13 Mile Rd, Warren, MI, 48093-2597
Phone Number
586-751-2520
Fax Number
586-751-7004
Provider Enumeration Date
10/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LM059389 01 MI BCBSM
institution
Provider Business Practice Location Address Details
Address
11250 E 13 Mile Rd
City
Warren
State
Michigan
Zip
48093-2597
Phone Number
586-751-2520
Fax Number
586-751-7004
person
Provider Business Mailing Address Details
Address
11250 E 13 Mile Rd
City
Warren
State
Michigan
Zip
48093-2597
Phone Number
586-751-2520
Fax Number
586-751-7004
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
4301059389 (Michigan)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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