NPI 1114157955

Demetria Martin

Practitioner Podiatrist Brookfield, WI

Practice location

Address: 200 S Executive Dr Suite 101, Brookfield, WI 53005-4216
Phone: (888) 964-6681
Fax: (888) 662-0859
Mailing address: 888 Worcester St Suite 130, Wellesley, MA 02482-3717

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 1027-25 (WI)

Other Podiatrist providers in Wisconsin →

Registry record

NPI: 1114157955
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Jul 2009
Record last updated: 29 Apr 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.