Demetria Martin

NPI #1114157955 in Brookfield, Wisconsin

Provider Information

NPI Number: 1114157955
Entity Type: Individual
Name: Demetria Martin
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Podiatrist
Enumeration Date: Jul 14, 2009
Last Updated: Apr 29, 2016

Practice Location

Address: 200 S EXECUTIVE DR
Address 2: SUITE 101
City: Brookfield
State: Wisconsin
ZIP Code: 53005-4216
Phone: (888) 964-6681

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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