Most Relevant Information
Provider Data
| NPI Number: | 1003257718 |
| Provider Name: | MARILYN MARTIN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WH0200X |
| Specialty: | Registered Nurse |
| License Number: | 4704112548 |
Most Important Dates
| Enumeration Date: | 07/10/2013 |
| Last Updated: | 07/10/2013 |
Provider Practice Location
2213 HOWE RD
BURTON
MI
485191148
Practice Location Phone/Fax
| Phone: | 8103943034 |
| Fax: |
Provider Mailing Location
2213 HOWE RD
BURTON
MI
485191148
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |