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Contact Information

STEVE MARTIN
5575 CONNER ST STE A
DETROIT, MI48213-6400
 Phone: 888-688-4311
 Fax: 888-681-4311
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Pathology/Laboratory Medicine

207ZP0105X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for STEVE MARTIN · (Male)

NPI # 1033748728
Status Active
Credentials
Entity Individual
Enumeration date 04/04/2020
Last updated 04/04/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 23D2179512
  • MI Medicaid 23D2179512
  • MI Other 23D2179512 BLUE CROSS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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