Search › Michigan › 101YA0400X
Theadore Martin, CACM,CSOTS
NPI 1821322454 · on the registry since 2009
Practice
- Address
- 8097 Decatur St
Detroit, MI 48228 - Phone
- (313) 846-5020
- Fax
- (313) 846-3468
- Organisation at this address
- Carefirst Community Health Services
Carefirst Community Health ServicesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 101Y00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-09-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan