Martini, Wisam
Martini, Wisam is an individual health care provider with primary practice located at 2150 Gettler St Ste 400 , Dyer IN 46311-2385. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Martini, Wisam can be contacted via phone (219) 865-0893.Contact Information
Primary practice address
2150 Gettler St Ste 400
Dyer IN 46311-2385
Phone: (219) 865-0893
Fax: (219) 865-3599
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 4301073342 | Michigan |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 35092774 | Ohio |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 01087451A | Indiana |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 4301073342 | Michigan |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 01087451A | Indiana |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01087451A | Indiana |
Profile Details
| NPI number | 1558300210 |
|---|---|
| LBN Legal business name | Martini, Wisam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Oct 11th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558300210 | NPPES |
| Ohio | MEDICAID | 2928827 |
Popular Providers
-
George, John M
2821 E President George Bush Hwy Suite 505, Richardson TX 75082-4266 -
Kalapatapu, Kumar Siva
19 Bradhurst Ave Ste 700, Hawthorne NY 10532-2140 -
Galli, Frank C
2490 Hospital Dr Suite 311, Mountain View CA 94040 -
Mulvihill, Daniel F
15611 Pomerado Rd Suite 580, Poway CA 92064-2437 -
Nicholas, Michael A
2150 Gettler St Ste 400 , Dyer IN 46311-2385 -
Javeed, Najam
4740 Mile Stretch Dr , Holiday FL 34690-4331 -
Gilbert, Christopher R
1955 W Citracado Pkwy Suite 300, Escondido CA 92029-4113 -
Rajanahally, Ratnakar
2150 Gettler St Ste 400 , Dyer IN 46311-2385