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Contact Information

REBECCA G MARTINIE, MD
4855 S MOORLAND RD FL 3
NEW BERLIN, WI53151-7494
 Phone: 262-432-7599
 Fax: 262-432-7694
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Sports Medicine

2080S0010X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for REBECCA G MARTINIE · (Female)

NPI # 1700144698
Status Active
Credentials MD
Entity Individual
Enumeration date 04/27/2012
Last updated 10/11/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • TX License # Q4630
  • WI License # 71893-20
  • WI Medicaid 1700144698
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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