Matthew Joseph Martin, OD
Optometrist in Auburn, MI. Individual provider (NPI-1).
NPI number1063409142
StatusActive
Last updated in NPPESFeb 4, 2013
Details
- NPI
- 1063409142
- Entity type
- Individual (NPI-1)
- Name
- Matthew Joseph Martin
- Credential
- OD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 4, 2005
- Last updated
- Feb 4, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 4901004017 | MI | Yes |
Practice location
955 W Midland RdAuburn, MI 48611-9406
Phone 989-662-2501 · Fax 989-662-6961
Mailing address
955 W Midland RdAuburn, MI 48611-9406
Phone 989-662-2501 · Fax 989-662-6961
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