Martin, Michelle Marie
Martin, Michelle Marie is an individual health care provider with primary practice located at 12750 Bass Lake Rd , Maple Grove MN 55369-6307. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Martin, Michelle Marie can be contacted via phone (763) 553-1811.Contact Information
Primary practice address
12750 Bass Lake Rd
Maple Grove MN 55369-6307
Phone: (763) 553-1811
Fax: (763) 553-0131
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3053 | Minnesota |
Profile Details
| NPI number | 1386652907 |
|---|---|
| LBN Legal business name | Martin, Michelle Marie |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | Sep 12th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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