Misha Lee Taber Martinez, M.D.
NPI #1528221082 in Granite City, Illinois
Provider Information
- NPI Number
- 1528221082
- Entity Type
- Individual
- Name
- Misha Lee Taber Martinez, M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pediatrics
- Credential
- M.D.
- Enumeration Date
- Jul 4, 2008
- Last Updated
- Jan 26, 2015
Practice Location
- Address
- 3165 MYRTLE AVE STE 2
- City
- Granite City
- State
- Illinois
- ZIP Code
- 62040-5012
- Phone
- (618) 876-7500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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