Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MINERVA MARTIN
Active Sole ProprietorMINERVA MARTIN is a Procedural Dermatology healthcare provider located in ROMULUS, Michigan. NPI 1366205932 is currently active in the NPPES registry. Verify at CMS.
Procedural Dermatology · ROMULUS, MI
Registration Details
- NPI Number
- 1366205932
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 5, 2024 (2.532969619583 yrs)
- Last Updated
- Feb 5, 2024
- License
-
M635603014055 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11024 WAHRMAN STROMULUS, MI, 481743813Browse MI providers · Browse ZIP 48174
- Phone
- 3137845550
- Fax
- 3137845550
- Primary Specialty
-
Procedural Dermatology
207NS0135X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.