SHANE DOUGLAS MARTIN

MIDLAND, MI
NPI1386872588
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208600000X Surgery
(Licence: MI  5101018126)
Enumeration Date2009-06-25
Last Update Date2016-11-03
Business Address
-- SHANE DOUGLAS MARTIN DO
4201 CAMPUS RIDGE DRIVE
MIDLAND, MI 48640
Phone number: 989-839-1795
Mailing Address
-- SHANE DOUGLAS MARTIN DO
4201 CAMPUS RIDGE DRIVE
MIDLAND, MI 48640
Phone number: 989-839-1795
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