Most Relevant Information
Provider Data
| NPI Number: | 1003072463 |
| Provider Name: | ALISSA M MARTIN MD |
| Entity Type: | Individual |
| Taxonomy Code: | 208000000X |
| Specialty: | Pediatrics |
| License Number: | 4301104197 |
Most Important Dates
| Enumeration Date: | 08/04/2008 |
| Last Updated: | 09/30/2013 |
Provider Practice Location
3901 BEAUBIEN
CHILDREN'S HOSPITAL OF MI
DETROIT
MI
48201
Practice Location Phone/Fax
| Phone: | 3137455515 |
| Fax: | 3137455237 |
Provider Mailing Location
4201 ST. ANTIONE UHC 5D
UNIVERSITY PEDIATRICIANS
DETROIT
MI
48201
Provider Mailing Phone/Fax
| Phone: | 3139665051 |
| Fax: | 3139660665 |
Suggested EMR
Pediatrics EMR